Individual
SABRINA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 FOLK ST, POMARIA, SC 29126-8918
(803) 537-2863
Mailing address
320 FOLK ST, POMARIA, SC 29126-8918
(803) 537-2863
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
004057175
SC
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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