Individual
AUDREY RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 BEAR GRASS RD W, LONGS, SC 29568-8040
(843) 360-6808
Mailing address
1311 BEAR GRASS RD W, LONGS, SC 29568-8040
(843) 360-6808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
273832
SC
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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