Individual
BEVERLY ANN KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 HODSON HALL DR, COLUMBIA, SC 29229-9571
(803) 760-9173
Mailing address
213 HODSON HALL DR, COLUMBIA, SC 29229-9571
(803) 760-9173
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
165212E
SC
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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