Individual
MRS. LOUANN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1999 SINGLEY ST, NORTH CHARLESTON, SC 29405-5014
(843) 745-2030
(843) 745-2029
Mailing address
1999 SINGLEY ST, NORTH CHARLESTON, SC 29405-5014
(843) 745-2030
(843) 745-2029
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5617
SC
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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