Individual
DIANE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1611 CHURCH ST, CAMDEN, SC 29020
(803) 425-6012
(803) 424-1611
Mailing address
6114 HAMPTON LEAS LN, COLUMBIA, SC 29209-1952
(803) 425-6012
(803) 424-1611
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
91813
SC
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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