Individual
MR. CHRISTOPHER DAVID HEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
2887 OPHELIA WAY, MYRTLE BEACH, SC 29577-6784
(614) 395-0806
Mailing address
2887 OPHELIA WAY, MYRTLE BEACH, SC 29577-6784
(614) 395-0806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243988
SC
163WC1500X
Community Health Registered Nurse
243988
SC
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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