Individual
MARY ANN WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
430 MURRAH RD, NORTH AUGUSTA, SC 29860-8967
(803) 279-2511
(803) 279-1710
Mailing address
430 MURRAH RD, NORTH AUGUSTA, SC 29860-8967
(803) 279-2511
(803) 279-1710
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
201965
SC
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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