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Individual

WENDY B. POTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., CCC-A

Contact information

Practice address
1601 SAINT JULIAN PL, COLUMBIA, SC 29204-2407
(803) 777-2642
(803) 253-4143
Mailing address
1601 SAINT JULIAN PL, COLUMBIA, SC 29204-2407
(803) 777-2642
(803) 253-4143

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3150
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
426521
SC
Enumeration date
07/20/2006
Last updated
08/12/2008
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