MRS. SAMANTHA C WILLARD (NPI# 1730562810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730562810 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA C WILLARD |
| Credential | APRN, FNP-C |
| Practice Address |
207 E Monroe St Dillon SC 29536-2557 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8437744337 |
| Mailing Telephone | (843) 857-0111 |
| Mailing Fax Number | 8438570206 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19580 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3342 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 N 8th Ave, Suite 3a, Dillon, SC 295362549 | 8437746091 | 8438413814 |
| Street Address |
207 E MONROE ST |
| City | DILLON |
| State | SC |
| Zip Code | 29536-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434249 | Mcleod Physician Associates II | Clinic/Center | 207 E Monroe St, Dillon, SC 29536-2557 | 2006-02-06 |
| 1427435940 | Kendra Mcqueen Fling | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2015-05-05 |
| 1023407368 | Tara Coburn | Social Worker | 207 E Monroe St, Dillon, SC 29536-2557 | 2015-01-09 |
| 1255762936 | Caresouth Carolina, Inc | Clinic/Center | 207 E Monroe St, Dillon, SC 29536-2557 | 2013-12-06 |
| 1912236225 | Mcleod Physician Associates II | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2009-12-15 |
| 1417020751 | Ellen Margaret Mishra | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
| 1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
| 1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
| 1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
| 1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
| 1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
| Find all providers in zip 29536 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932649894 | Anna Katherine Townsend | Nurse Practitioner | 310 E Washington St, Dillon, SC 29536-2948 | 2017-02-26 |
| 1578574067 | Dianne Wickham Sawitke | Nurse Practitioner | 530 N Montana St, Trina Health of Montana, Dillon, MT 59725-3315 | 2006-08-10 |
| 1669466710 | Tracy Privette George | Nurse Practitioner | 201 W Hampton St, Dillon, SC 29536-3333 | 2005-09-06 |
| 1720588841 | Loryn Jackson Britt | Nurse Practitioner | 705 N 8th Ave Ste 1a, Dillon, SC 29536-2549 | 2018-02-15 |
| 1588173579 | Holly Hunt Rowell | Nurse Practitioner | 705 N 8th Ave Ste 1a, Dillon, SC 29536-2549 | 2017-09-22 |
| 1366970741 | Tammy Gainey Huckabee | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2017-05-30 |
| 1437691524 | Amy Ranes | Nurse Practitioner | 116 N Washington St, Dillon, MT 59725 | 2016-11-07 |
| 1811382849 | Jimmi Lynette Jones | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-04-06 |
| 1376944512 | Nicole Cottom | Nurse Practitioner | 41 Barrett St, Dillon, MT 59725-3508 | 2014-09-08 |
| 1912236225 | Mcleod Physician Associates II | Nurse Practitioner | 207 E Monroe St, Dillon, SC 29536-2557 | 2009-12-15 |
| Find all providers in DILLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.