Individual
MIRANDA RENEE GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
710 CHESTERFIELD HWY, CHERAW, SC 29520-7001
(843) 320-3376
Mailing address
710 CHESTERFIELD HWY, CHERAW, SC 29520-7001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21360
SC
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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