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Andre Washington
NPI 1497350888 · on the registry since 2020 · sole proprietor
Practice
- Address
- 20 Mystic Ct
Dalzell, SC 29040 - Phone
- (803) 236-6233
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina