Individual
DARCIA M PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
222 E MEDICAL LN STE 300, WEST COLUMBIA, SC 29169-4848
(803) 936-8100
(803) 936-8130
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
17566
SC
367A00000X
Advanced Practice Midwife
COA 12079 NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0242
—
SC
Enumeration date
01/23/2012
Last updated
05/11/2022
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