Individual
AIMEE RENAE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
808 US 52 HWY, LAKE CITY, SC 29560-2480
(843) 625-6080
Mailing address
PO BOX 72, PAMPLICO, SC 29583-0072
(843) 319-7985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25122
SC
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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