Individual
KWAME FOULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 E PARK DR, LANCASTER, SC 29720-3562
(803) 804-8311
Mailing address
2016 E PARK DR, LANCASTER, SC 29720-3562
(803) 804-8311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24466
SC
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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