Individual
LAURA JORDAN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
130 E CAMDEN AVE, HARTSVILLE, SC 29550-5726
(843) 373-0723
Mailing address
130 E CAMDEN AVE, HARTSVILLE, SC 29550-5726
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
49048
SC
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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