Individual
DR. STAR AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-NP
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2498
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
92132
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4462
—
SC
Enumeration date
04/01/2016
Last updated
06/11/2024
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