Individual
SHARON DAYSE AVENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1935 N SMOKERISE WAY, MOUNT PLEASANT, SC 29466-7610
(843) 817-3706
Mailing address
1935 N SMOKERISE WAY, MOUNT PLEASANT, SC 29466-7610
(843) 817-3706
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
239683
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NA
—
Enumeration date
01/12/2019
Last updated
02/05/2019
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