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Individual

SAVANNAH MARIE SPEARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17633
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326287434
MEDICAID DME NPI
SC
05
NP2168
SC
Enumeration date
10/03/2011
Last updated
03/12/2020
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