Individual
CALLA ROSE CHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1742 VILLAGE PARK DRIVE, ORANGEBURG, SC 29118-1931
(803) 997-0856
Mailing address
1905 FRANCIS ST, ORANGEBURG, SC 29118-1931
(423) 895-9553
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
187636
TN
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
19752
SC
363LG0600X
Gerontology Nurse Practitioner
19752
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19752
MEDICAL LICENSE
SC
05
—
NP3492
—
SC
Enumeration date
09/18/2015
Last updated
08/23/2021
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