Individual
DR. LORRAINE PUSSER WILLCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6019
(843) 664-3301
(843) 664-3723
Mailing address
PO BOX 10925, KNOXVILLE, TN 37939-0925
(865) 766-8800
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25452
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254520
—
SC
Enumeration date
10/11/2006
Last updated
10/24/2007
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