Individual
ANGELA RALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
964 BLACK CREEK CHURCH RD, MOUNT CROGHAN, SC 29727-8619
(843) 680-6118
(843) 680-6118
Mailing address
964 BLACK CREEK CHURCH RD, MOUNT CROGHAN, SC 29727-8619
(843) 680-6118
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C83301
NC
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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