Wilma J Spencer
Nurse Practitioner
7724 N Kings Hwy
Myrtle Beach
, South Carolina 29572-3041
Wilma J Spencer
Nurse Practitioner
7724 N Kings Hwy
Myrtle Beach
, South Carolina 29572-3041
(843) 663-1017
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Wilma J Spencer
- Po Box 547
- Little River, SC
- Zip : 29566-0547
- Fax : (843) 663-1017
- Phone : (843) 663-1013
Second Address
- Wilma J Spencer
- 7724 N Kings Hwy
- Myrtle Beach, SC
- Zip : 29572-3041
- Fax : (843) 663-1017
- Phone : (843) 663-1013
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R78330 | SC |
National Provider Identifier
| NPI | 1003035965 |
|---|---|
| Provider Name | Wilma J Spencer |
| First Address | Little River, SC 29566-0547 |
| Second Address | Myrtle Beach, SC 29572-3041 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2007 |
| Last Update Date | 27/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 57-0672117 | TAX ID # (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.