Individual
CYNTHIA K. WADDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 E CHEVES ST, STE 500, FLORENCE, SC 29506-2772
(843) 777-7900
(843) 777-7925
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7132
(843) 777-4487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 2721
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0916
—
SC
Enumeration date
02/14/2006
Last updated
07/08/2007
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