Individual
MRS. SUMMER WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4520 BROAD ST, LORIS, SC 29569-2422
(843) 756-0959
Mailing address
244 HICKORY SPRINGS CT, CONWAY, SC 29527-5438
(843) 340-2672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26779
SC
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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