Mamie Duck, | |
207a N Washington St, Sumter, SC 29150-4204 | |
(803) 938-5898 | |
(803) 938-5443 |
Full Name | Mamie Duck |
---|---|
Gender | Female |
Speciality | Nursing Care |
Location | 207a N Washington St, Sumter, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104474238 | NPI | - | NPPES |
044139 | Other | NURSE LICENSED | |
3014415 | Medicaid | SC | |
3014415 | Other | SC | WE KARE HOME CARE AGENCY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 004399 (South Carolina) | Secondary |
251J00000X | Nursing Care | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mamie Duck, 207a N Washington St, Sumter, SC 29150-4204 Ph: (803) 316-4571 | Mamie Duck, 207a N Washington St, Sumter, SC 29150-4204 Ph: (803) 938-5898 |
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