Individual
MARY ELLEN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
419 S DARGAN ST, FLORENCE, SC 29506-2541
(843) 669-4141
Mailing address
211 WEST 2ND AVENUE, P O BOX 703, PAMPLICO, SC 29583
(843) 493-1039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100613
SC
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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