Individual
SAMANTHA JO PECUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
9313 MEDICAL PLAZA DR STE 305, CHARLESTON, SC 29406-9197
(843) 863-5600
(843) 553-2123
Mailing address
9313 MEDICAL PLAZA DR STE 305, CHARLESTON, SC 29406-9197
(843) 863-5600
(843) 553-2123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25234
SC
363LF0000X
Family Nurse Practitioner
25234
SC
Other
Enumeration date
03/01/2021
Last updated
09/08/2022
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