Individual
SANDRA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3512 SUMPTER RD, LORIS, SC 29569-8533
(843) 915-8803
(843) 915-6506
Mailing address
3512 SUMPTER RD, LORIS, SC 29569-8533
(843) 915-8803
(843) 915-6506
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
43539
SC
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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