Individual
MR. FREDRICK WINNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
572 DUNBAR RD, GEORGETOWN, SC 29440-2085
(843) 359-7377
Mailing address
572 DUNBAR RD, GEORGETOWN, SC 29440-2085
(843) 340-7890
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
011511299
SC
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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