Individual
SUSAN MARIE MONTENERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 CHANTICLEER DRIVE EAST, SWAIN HALL 111, CONWAY, SC 29528-6054
(843) 349-6490
Mailing address
PO BOX 261954, CONWAY, SC 29528-6054
(843) 349-6490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230521
SC
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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