Individual
PATRICIA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2070 NORTHBROOK BLVD, STE A-20, NORTH CHARLESTON, SC 29406-9252
(843) 953-4302
Mailing address
2070 NORTHBROOK BLVD, STE A-20, NORTH CHARLESTON, SC 29406-9252
(843) 953-4302
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
18879
SC
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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