Individual
NICOLE VAZQUEZ PLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2800
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MMD.87772
SC
Other
Enumeration date
03/19/2022
Last updated
05/16/2022
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