Individual
TERESA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
105 N MAGNOLIA ST, SUMTER CO HEALTH DEPT, SUMTER, SC 29150-4941
(803) 934-2809
Mailing address
105 MAGNOLIA ST, SUMTER, SC 29150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44825PR
SC
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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