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Individual

ALICE F WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
ONE WELLNESS BLVD., SUITE 203, IRMO, SC 29063
(803) 732-4608
(803) 732-4692
Mailing address
KULBERSH WOMEN'S CENTER, ONE WELLNESS BLVD. SUITE 203, IRMO, SC 29063
(803) 732-4608
(803) 732-4692

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
APN 336
SC

Other

Enumeration date
04/23/2007
Last updated
03/07/2023
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