Individual
PAULA M VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
114 LOCKE LN, MAULDIN, SC 29662-2334
(864) 417-6561
Mailing address
114 LOCKE LN, MAULDIN, SC 29662-2334
(864) 417-6561
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
228193
SC
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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