Most Relevant Information
Provider Data
| NPI Number: | 1003253089 |
| Provider Name: | JENNIE BINGHAM RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | RN.76219 |
Most Important Dates
| Enumeration Date: | 05/30/2013 |
| Last Updated: | 05/30/2013 |
Provider Practice Location
361 WATTLING RD
WEST COLUMBIA
SC
291702245
Practice Location Phone/Fax
| Phone: | 8037394175 |
| Fax: |
Provider Mailing Location
361 WATTLING RD
WEST COLUMBIA
SC
291702245
Provider Mailing Phone/Fax
| Phone: | 8037394175 |
| Fax: |