Individual
DUSTIN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, SRNA
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
1184 ARUBA CIR, CHARLESTON, SC 29412-8643
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
246630
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
219942-30
WI
Other
Enumeration date
04/16/2021
Last updated
09/29/2021
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