Individual
MRS. JOHNNELLE BING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1995 EDGEFIELD RD, TRENTON, SC 29847-2435
(706) 373-7864
Mailing address
1995 EDGEFIELD RD, TRENTON, SC 29847-2435
(706) 373-7864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R30083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PP0010
—
SC
Enumeration date
06/12/2008
Last updated
06/12/2008
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