Organization
CAROLINA BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERESA BLACKMON CATOE APRN (APRN)
(803) 283-7465
Entity
Organization
Contact information
Practice address
505 WOODLAND DR, KERSHAW, SC 29067-1704
(803) 283-7465
Mailing address
505 WOODLAND DRIVE, PO BOX 548, KERSHAW, SC 29067-0548
(803) 283-7465
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18183
SC
Other
Enumeration date
07/14/2017
Last updated
06/16/2018
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