Wal-Mart Stores East, LP

NPI #1235546482 in Camden, South Carolina

Provider Information

NPI Number
1235546482
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
Jul 21, 2014
Last Updated
Feb 19, 2015

Practice Location

Address
2240 W DEKALB ST
City
Camden
ZIP Code
29020-2069
Phone
(803) 900-6028

Authorized Official

Name
LAURA LEVINE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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