Individual
MRS. THERESA PARKS COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7401 GIBBES ST, IRMO, SC 29063-2819
(803) 476-4209
Mailing address
7401 GIBBES ST, IRMO, SC 29063-2819
(803) 476-4209
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
23815
SC
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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