Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Occupational Health |
363LX0106X | 50 | Nurse Practitioner |
| NPI # | 1871044859 |
| LBN Legal business name | HARTSVILLE MEDICAL ENRICHMENT SERVICES LLC |
| Authorized official | DIANE SHEFFIELD-WILKES - (OWNER/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/14/2016 |
| Last updated | 10/14/2016 - About 10 years ago |
| Identifiers | n/a |
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