Individual
JOSEPHINE MCCALL FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4050 BRIDGE VIEW DR, N CHARLESTON, SC 29405-7488
(843) 746-4079
Mailing address
197 MICKLER DR, LADSON, SC 29456-4890
(843) 870-9149
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
23610
SC
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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