Individual
ERICA BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
372 TWELVE OAK DR, CHARLESTON, SC 29414-9009
(859) 619-4004
Mailing address
442 KING ST, CHARLESTON, SC 29403-6230
(843) 572-5990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19949
SC
363LF0000X
Family Nurse Practitioner
5021982
NC
Other
Enumeration date
03/24/2016
Last updated
09/15/2025
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