Individual
CHELSEA GORE HARDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506
(843) 777-5622
Mailing address
1261 OAK DALE RD, LORIS, SC 29569-5412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230304
SC
363LF0000X
Family Nurse Practitioner
Primary
21618
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/17/2017
Last updated
06/12/2018
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