Individual
SARAH MAE NUNEZ WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 ROCKCREEK BLVD, GREENWOOD, SC 29649-8915
(864) 725-5020
Mailing address
102 ROCKCREEK BLVD, GREENWOOD, SC 29649-8915
(864) 725-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298396
—
SC
Enumeration date
06/19/2007
Last updated
05/20/2014
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