Individual
RENEE B BAZZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 CHARLESTON CENTER DR, CHARLESTON, SC 29401-1162
(843) 958-3530
Mailing address
5 CHARLESTON CENTER DR, CHARLESTON, SC 29401-1162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78789
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190166
—
SC
Enumeration date
08/01/2007
Last updated
08/01/2007
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