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Individual

SHELLEY WILDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
4050 BRIDGE VIEW DR STE 600, NORTH CHARLESTON, SC 29405-8415
(843) 953-0038
Mailing address
4050 BRIDGE VIEW DR STE 600, NORTH CHARLESTON, SC 29405-8415

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
221572
SC

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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