Individual
CAROLINE MAHALA BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSING
Contact information
Practice address
141 BILL WILLIAMSON CT, LEXINGTON, SC 29073-9296
(803) 520-4883
Mailing address
141 BILL WILLIAMSON CT, LEXINGTON, SC 29073-9296
(803) 520-4883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53951
SC
163W00000X
Registered Nurse
674371
CA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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