Individual
MS. ANNETTE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 HIERS CORNER RD, WALTERBORO, SC 29488-2831
(843) 782-4512
(843) 782-3853
Mailing address
633 HIERS CORNER RD, WALTERBORO, SC 29488-2831
(843) 782-4512
(843) 782-3853
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9564
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1085260617
—
SC
Enumeration date
11/25/2013
Last updated
11/25/2013
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