Spencer, Wilma J

Spencer, Wilma J is an individual health care provider with primary practice located at 7724 N Kings Hwy , Myrtle Beach SC 29572-3041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Spencer, Wilma J can be contacted via phone (843) 663-1013.

Contact Information

Primary practice address
7724 N Kings Hwy Myrtle Beach SC 29572-3041
Phone: (843) 663-1013
Fax: (843) 663-1017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R78330 South Carolina

Profile Details

NPI number 1003035965
LBN Legal business name Spencer, Wilma J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jan 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003035965 NPPES
South Carolina Other 57-0672117 TAX ID #

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