Individual
MRS. ANITA GRAVES MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
602 N RICHARDSON ST, LATTA, SC 29565-1416
(843) 752-7117
(843) 752-2722
Mailing address
602 N RICHARDSON ST, LATTA, SC 29565-1416
(843) 752-7117
(843) 752-2722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN54263
SC
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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