SAMANTHA JEAN THEOBALD

CHARLESTON, SC
NPI1508563347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  27061)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
SAMANTHA JEAN THEOBALD FNP
27 GAMECOCK AVE STE 201
CHARLESTON, SC 29407-3398
Phone number: 843-769-8215
Mailing Address
SAMANTHA JEAN THEOBALD FNP
27 GAMECOCK AVE STE 201
CHARLESTON, SC 29407-3398
Phone number: 843-769-8215
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