Individual
DENISE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 WHITEHALL RD, ANDERSON, SC 29625-2264
(864) 260-5255
Mailing address
702 WHITEHALL RD, ANDERSON, SC 29625-2264
(864) 260-5255
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
55345
SC
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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