Individual
VICTORIA MANIGAULT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4050 BRIDGE VIEW DR, NORTH CHARLESTON, SC 29405-8415
(843) 746-3834
(843) 746-3814
Mailing address
533 CARTERS GRV, CHARLESTON, SC 29414-9015
(843) 769-6297
(843) 746-3814
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1539
SC
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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