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Individual

SANDRA WEATHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
953 SOUTH PAMPLICO HWY, PAMPLICO, SC 29583
(843) 493-5252
(843) 493-2372
Mailing address
953 SOUTH PAMPLICO HWY, PAMPLICO, SC 29583
(843) 493-5252
(843) 493-2372

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2399
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1032
SC
Enumeration date
10/06/2006
Last updated
12/19/2013
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