Individual
CHARITA ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 THURGOOD MARSHALL HWY STE A, KINGSTREE, SC 29556-4108
(843) 355-6012
Mailing address
520 THURGOOD MARSHALL HWY STE A, KINGSTREE, SC 29556-4108
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
107553
SC
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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