Individual
MRS. CAMILLIA L LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
621 W GREENE ST, CHERAW, SC 29520-2311
(843) 910-7198
Mailing address
621 W GREENE ST, CHERAW, SC 29520-2311
(843) 910-7198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255874
SC
163WH0200X
Home Health Registered Nurse
255874
SC
163WM0705X
Medical-Surgical Registered Nurse
Primary
255874
SC
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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