Individual
MRS. SHARON S COTHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN
Contact information
Practice address
315 E QUEEN ST, PENDLETON, SC 29670-1721
(864) 403-2308
(864) 646-8011
Mailing address
PO BOX 487, LA FRANCE, SC 29656-0487
(864) 403-2308
(864) 646-8011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41578
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942275649
—
SC
Enumeration date
01/09/2013
Last updated
09/25/2013
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