Individual
SHARON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
501 NELSON BLVD, KINGSTREE, SC 29556-4026
(843) 354-5456
Mailing address
501 NELSON BLVD, KINGSTREE, SC 29556-4026
(843) 354-5456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33831
SC
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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