Individual
LAURA LEE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E MARKET ST, TIMMONSVILLE, SC 29161-1812
(843) 346-3730
(843) 346-7689
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23819
SC
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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