Wal-Mart Stores East, LP
NPI #1114332665 in Sumter, South Carolina
Provider Information
- NPI Number
- 1114332665
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES, INC.
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Feb 19, 2015
Practice Location
- Address
- 1283 BROAD ST
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-1973
- Phone
- (803) 905-5528
Authorized Official
- Name
- LAURA LEVINE
- Title
- DIRECTOR OF HEALTHCARE CONTRACTING
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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