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Individual

EDWINA MARIE HALLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
32 RIVER ST, PEAK, SC 29122
(803) 945-7475
(803) 945-0000
Mailing address
247 SPRING LN, PROSPERITY, SC 29127-6307
(619) 944-5206

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22678
SC

Other

Enumeration date
03/04/2019
Last updated
01/02/2025
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