Individual
KATRINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2178A SAVANNAH HWY STE C, CHARLESTON, SC 29414-5345
(843) 964-9750
Mailing address
2178A SAVANNAH HWY STE C, CHARLESTON, SC 29414-5345
(843) 964-9750
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
IHCP-1212
SC
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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