Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 85676 | SC |
NPI | 1083000533 |
---|---|
Provider Name | Dr. Erica Umpierrez |
First Address | Conway, SC 29526-9142 |
Second Address | Conway, SC 29526-8945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2015 |
Last Update Date | 14/09/2021 |