Individual
MRS. COURTNEY MICHELLE ROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9291 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9126
(843) 764-1730
(843) 764-1731
Mailing address
9291 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9126
(843) 764-1730
(843) 764-1731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022607
NY
363AS0400X
Surgical Physician Assistant
Primary
4389
SC
Other
Enumeration date
09/24/2018
Last updated
07/26/2024
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