Individual
ANNA ERICSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1189 SWEETGRASS BASKET PKWY, MT PLEASANT, SC 29466-7422
(843) 856-1210
Mailing address
1536 GLEN ERIN DR, MT PLEASANT, SC 29464-7752
(843) 475-0938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109500
SC
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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