Individual
CHARLAINE CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
105 LAKE MURRAY DR, NORTH AUGUSTA, SC 29841-8639
(803) 292-9250
Mailing address
105 LAKE MURRAY DR, NORTH AUGUSTA, SC 29841-8639
(803) 292-9250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN262353
GA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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