Individual
MISS JILL CULLIPHER SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29021-7003
(803) 432-4311
Mailing address
1315 ROBERTS ST, POST OFFICE BOX 7003, CAMDEN, SC 29021-7003
(803) 432-4311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3883
SC
Other
Enumeration date
04/20/2009
Last updated
01/18/2014
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