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1528674009
CARL VINCENT WITHERSPOON
SPARTANBURG, SC
NPI
1528674009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 24148)
Enumeration Date
2020-09-19
Last Update Date
2020-09-19
Business Address
Mr. CARL VINCENT WITHERSPOON PMHNP-BC
239 ACCESS RD
SPARTANBURG, SC 29303-1682
Phone number: 864-503-0207
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Mailing Address
Mr. CARL VINCENT WITHERSPOON PMHNP-BC
239 ACCESS RD
SPARTANBURG, SC 29303-1682
Phone number:
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