Individual
WHITNEY JOHNSON BROADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15269 INDIAN MOUND RD, WARE SHOALS, SC 29692-3547
(864) 456-7496
(864) 861-4338
Mailing address
15269 INDIAN MOUND RD, WARE SHOALS, SC 29692-3547
(864) 456-7496
(864) 861-4338
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
203589
SC
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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