Individual
MS. SHELLEY FEGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 1ST AVE N, SURFSIDE BEACH, SC 29575-3811
(843) 241-7126
Mailing address
627 1ST AVE N, SURFSIDE BEACH, SC 29575-3811
(843) 241-7126
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P41419
SC
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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