Individual
TRINITY HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1736 MAIN ST S, GREENWOOD, SC 29646-4124
(864) 227-5993
Mailing address
240 BRIDGE ST, BRANCHVILLE, SC 29432-2010
(803) 664-1155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P45951
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P45951
LPN
SC
Enumeration date
10/13/2021
Last updated
10/13/2021
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