Organization
OUR NEW BEGINNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN MIDDLETON-FRASIER RN (REGISTERED NURSE)
(843) 834-2426
Entity
Organization
Contact information
Practice address
8633 N HIGHWAY 17, MC CLELLANVILLE, SC 29458-9470
(843) 834-2426
Mailing address
8633 N HIGHWAY 17, MC CLELLANVILLE, SC 29458-9470
(843) 834-2426
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
RN40136
SC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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