Individual
MRS. KATRINA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 RUSSELL ST, DARLINGTON, SC 29532-3323
(843) 398-4400
Mailing address
71 DOUGLAS LN, CHERAW, SC 29520-5916
(843) 537-2272
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
86466
SC
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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