Individual
MS. PATRICIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 TAMAH ROAD, IRMO, SC 29063
(803) 476-3309
Mailing address
1400 OLD TAMAH RD, IRMO, SC 29063-9799
(803) 479-3309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54351
SC
163WS0200X
School Registered Nurse
Primary
54351
SC
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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