Individual
NICOLE FONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 THOMASINA MCPHERSON BLVD, NORTH CHARLESTON, SC 29405-8283
(843) 745-2184
Mailing address
3180 THOMASINA MCPHERSON BLVD., NORTH CHARLESTON, SC 29405-8283
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
231784
SC
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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