Individual
TABITHA KROSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-8800
Mailing address
436 SAINT JOHN RD, GALIVANTS FERRY, SC 29544-7979
(203) 707-9366
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
256567
SC
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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