Individual
MRS. MARY LEE ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1111 MILL ST, CAMDEN, SC 29020-3763
(803) 425-1330
(803) 425-0324
Mailing address
PO BOX 7003, CAMDEN, SC 29021-7003
(803) 425-1330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 138
SC
Other
Enumeration date
07/21/2006
Last updated
03/20/2015
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