Individual
MARY MULVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 BRIDGE VIEW DR, STE 600, NORTH CHARLESTON, SC 29405-7488
(843) 953-0272
Mailing address
4050 BRIDGE VIEW DR, STE 600, NORTH CHARLESTON, SC 29405-7488
(843) 953-0272
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R83686
SC
163WC1500X
Community Health Registered Nurse
R83686
SC
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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