Individual
KRISTIN HODGES WERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 LUCAS AVE, LAURENS, SC 29360-2149
(864) 984-3986
Mailing address
301 WOODLAND WAY, LAURENS, SC 29360-3955
(864) 984-3986
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
102143
SC
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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