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Individual

MRS. ROBERTA RAE ALSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
945 82ND PKWY, SUITE 3, MYRTLE BEACH, SC 29572-4610
(843) 449-3381
(843) 839-0275
Mailing address
506 E CHEVES ST, SUITE 202, FLORENCE, SC 29506-2616
(843) 777-7010
(843) 777-7006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A362
SC

Other

Enumeration date
10/25/2005
Last updated
01/29/2021
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