LAINE BLANK WAY

MANNING, SC
NPI1114487519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  82721)
Enumeration Date2019-03-21
Last Update Date2022-07-06
Business Address
LAINE BLANK WAY
50 E HOSPITAL ST STE 3
MANNING, SC 29102-3149
Phone number: 803-435-8828
Mailing Address
LAINE BLANK WAY
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 803-435-8828
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