Individual
MRS. SANDRA ANN FARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2369 CYPRESS CIR, CONWAY, SC 29526-8921
(843) 347-3900
(843) 347-3930
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26793
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN1804
—
SC
Enumeration date
01/14/2016
Last updated
12/30/2025
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