Individual
MR. SEAN PATRICK RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
77 PRINCESS DR, NORTH MYRTLE BEACH, SC 29582-3061
(856) 343-2588
Mailing address
77 PRINCESS DR, NORTH MYRTLE BEACH, SC 29582-3061
(856) 343-2688
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN157577
GA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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