Individual
MRS. DEAVA CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(803) 434-7000
Mailing address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(910) 840-2690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26253
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
06/01/2021
Last updated
07/01/2022
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