Individual
MRS. WILLA PAULETTE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2194 STADIUM RD, SUMTER, SC 29154-6159
(803) 325-5483
Mailing address
2194 STADIUM RD, SUMTER, SC 29154-6159
(803) 325-5483
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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