Individual
KIM EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 THOMAS CARIO BLVD, MT PLEASANT, SC 29466
(843) 849-3367
Mailing address
2300 THOMAS CARIO BLVD, MT PLEASANT, SC 29466
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
37477
SC
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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