Individual
MRS. NANCY CHARLENE RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3113 MAIN ST, NEWBERRY, SC 29108-4139
(803) 321-2621
Mailing address
3113 MAIN ST, NEWBERRY, SC 29108-4139
(803) 321-2621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87405
SC
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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