Individual
TREVA MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3625 ASHLEY PHOSPHATE RD, CHARLESTON, SC 29418-8559
(843) 764-2200
(843) 764-2240
Mailing address
3625 ASHLEY PHOSPHATE RD, CHARLESTON, SC 29418-8559
(843) 764-2200
(843) 764-2240
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
31053
SC
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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