Organization
ANDERSON DISTRICT 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S COTHRAN ADN (REGISTERED NURSE)
(864) 403-2308
Entity
Organization
Contact information
Practice address
550 WILLIAMS STREET, LA FRANCE, SC 29656
(864) 403-2308
Mailing address
PO BOX 487, 550 WILLIAMS ST, LAFRANCE, SC 29656
(864) 403-2308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41578
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0404
—
SC
Enumeration date
01/09/2013
Last updated
01/09/2013
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