Individual
MIRANDA D CHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
199 SPARTANBURG HWY, LYMAN, SC 29365-1601
(864) 804-3002
Mailing address
7281 NEW CUT RD, INMAN, SC 29349-7157
(864) 804-3002
(864) 485-3115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0717
SC
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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