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Individual

INGRID LLANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
101 JACOBS HWY, CLINTON, SC 29325-7276
(334) 560-3517
Mailing address
PO BOX 34, CLINTON, SC 29325-0034
(334) 560-3517

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5203
SC

Other

Enumeration date
02/22/2024
Last updated
01/16/2025
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