Individual
MS. ANGEL SHERSE IVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 W CAMPANELLA DR, COLUMBIA, SC 29203-5116
(860) 985-0000
Mailing address
616 W CAMPANELLA DR, COLUMBIA, SC 29203-5116
(860) 985-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247485
SC
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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