Individual
LINDA MAE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 288-8083
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 288-8083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202028
SC
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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