Individual
KIM NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1656 RIVERCHASE BLVD, STE 1400, ROCK HILL, SC 29732-2084
(803) 329-9088
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01065
NC
363A00000X
Physician Assistant
3173
SC
Other
Enumeration date
10/10/2006
Last updated
03/29/2021
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