Fonda Mae Wilkins NP

NPI 1649292830 - Nurse Practitioner - 363LC0200X

NPI Details
NPI 1649292830
Gender Female
Enumeration Date 07/24/2006
Last Updated 03/02/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
115 BLARNEY DR
COLUMBIA SC, 29223-6291, US
Phone (803) 419-9091
Fax (803) 419-9199
Business Location
115 BLARNEY DR
COLUMBIA SC, 29223-6291, US
Phone (803) 419-9091
Fax (803) 419-9199
Toxanomy
Taxonomy Code 363LC0200X
License State South Carolina
License Number 2964
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According to our database, Fonda Mae Wilkins NP NPI is 1649292830, taxonomy code is 363LC0200X and license number is 2964, license state is located at South Carolina. Fonda Mae Wilkins NP physically located at 115 Blarney Dr, Columbia SC, 29223-6291. NPI Number Fonda Mae Wilkins NP has the Individual type.

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1649292830 NPI number is provided on an as is basis without warranty of any kind. 1649292830 is maintained by the National Plan & Provider Enumeration System. The contents of Fonda Mae Wilkins NP are for informational purposes only.