Most Relevant Information
Provider Data
| NPI Number: | 1003035965 |
| Provider Name: | WILMA J SPENCER NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | R78330 |
Most Important Dates
| Enumeration Date: | 04/25/2007 |
| Last Updated: | 01/27/2011 |
Provider Practice Location
7724 N KINGS HWY
MYRTLE BEACH
SC
295723041
Practice Location Phone/Fax
| Phone: | 8436631013 |
| Fax: | 8436631017 |
Provider Mailing Location
PO BOX 547
LITTLE RIVER
SC
295660547
Provider Mailing Phone/Fax
| Phone: | 8436631013 |
| Fax: | 8436631017 |