Individual
SHERRY CAUSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 N. KEMPER STREET, LAKE VIEW, SC 29563
(843) 759-2189
Mailing address
103 N. KEMPER STREET, LAKE VIEW, SC 29563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN1803
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1746
—
SC
01
—
P00284620
RAILROAD MEDICARE PTAN
SC
Enumeration date
08/19/2006
Last updated
09/01/2017
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