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MRS. BEVERLY LESAINE HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7851
(803) 996-1500
(803) 996-1511
Mailing address
7 WINDY KNL, COLUMBIA, SC 29229-9031
(803) 996-1500

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
SC

Other

Enumeration date
02/28/2007
Last updated
07/19/2007
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