Individual
CORTELLA WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
371 E HENRY ST, SPARTANBURG, SC 29302-2607
(864) 308-8712
Mailing address
531 MEADOWSEED CT, LYMAN, SC 29365-1357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104849
SC
Other
Enumeration date
10/26/2017
Last updated
06/15/2022
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