Individual
MRS. DELORES MCGHEE SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 W MAIN ST, MONCKS CORNER, SC 29461-2673
(843) 719-4616
(843) 719-4633
Mailing address
1238 OAKLEY RD, MONCKS CORNER, SC 29461-6911
(843) 719-4616
(843) 719-4633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59641
SC
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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