Individual
CIERRA CHRISTINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
Mailing address
75 MOULTRIE ST, CHARLESTON, SC 29403-4467
(308) 440-3933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223001
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
23910
SC
Other
Enumeration date
04/07/2020
Last updated
09/19/2022
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