Healthcare Provider Details

I. General information

NPI: 1033741590
Provider Name (Legal Business Name): MARGARET CONANT BRITT APRN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N SUMTER ST STE 410
SUMTER SC
29150-4969
US

IV. Provider business mailing address

PO BOX 743904
ATLANTA GA
30374-3904
US

V. Phone/Fax

Practice location:
  • Phone: 803-774-9797
  • Fax: 803-933-3012
Mailing address:
  • Phone: 803-296-7329
  • Fax: 803-296-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23693
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: