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Individual

MS. MELINDA GALFORD HEFFERNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2580 WOODRUFF RD, SIMPSONVILLE, SC 29681-5447
(866) 389-2727
Mailing address
2580 WOODRUFF RD, SIMPSONVILLE, SC 29681-5447
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23949
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024181336
NP LICENSE
SC
01
23949
APRN LICENSE
SC
Enumeration date
07/28/2020
Last updated
06/20/2022
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