Individual
DIANE RACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
PO BOX 304, FOLLY BEACH, SC 29439-0304
(989) 737-5744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704139694
MI
Other
Enumeration date
07/24/2006
Last updated
06/07/2017
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