Individual
MRS. SALLY B DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
692 MILL ST, LITTLE MOUNTAIN, SC 29075-8716
(803) 945-7721
(803) 945-1058
Mailing address
PO BOX 718, NEWBERRY, SC 29108-0718
(803) 321-2620
(803) 321-1158
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
34091
SC
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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