SAMANTHA LACEY

GREENVILLE, SC
NPI1568112787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  LL87752)
Enumeration Date2022-03-29
Last Update Date2022-07-07
Business Address
SAMANTHA LACEY
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-5198
Mailing Address
SAMANTHA LACEY
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number:
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