Individual
MRS. EMILY HORNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(864) 366-5011
Mailing address
179 HORNE DR, ABBEVILLE, SC 29620-4916
(864) 378-2418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20996
SC
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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