Individual
SHARON HILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3689 ANGEL OAK RD, JOHNS ISLAND, SC 29455-3300
(843) 559-0853
Mailing address
3689 ANGEL OAK RD, JOHNS ISLAND, SC 29455-3300
(843) 559-0853
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
438866
SC
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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