Individual
PAMELA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N MAGNOLIA ST, SUMTER, SC 29150-4941
(803) 773-5511
Mailing address
1230 KENTWOOD DR, SUMTER, SC 29154-7054
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
225998
SC
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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