Individual
WILLIAM SHAKEIL OUTLER-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(803) 847-0669
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN25914RX
SC
Other
Enumeration date
03/21/2022
Last updated
12/28/2022
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