Individual
ROSE GOODWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 WINNOWING WAY STE 102, MT PLEASANT, SC 29466-7523
(843) 324-0311
Mailing address
1152 GRADDICK RD, MT PLEASANT, SC 29464-3343
(843) 324-0311
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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