Organization
MSN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA RICARD NOLES (PARTNER)
(803) 917-1684
Entity
Organization
Contact information
Practice address
1 WELLNESS BLVD, SUITE 111, IRMO, SC 29063-2871
(803) 917-1684
Mailing address
1 WELLNESS BLVD, SUITE 111, IRMO, SC 29063-2871
(615) 620-2320
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
12/09/2021
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