Individual
COURTNEY IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, LNC
Contact information
Practice address
5440 KINGSTREE HWY, MANNING, SC 29102-7446
(803) 720-1762
Mailing address
5440 KINGSTREE HWY, MANNING, SC 29102-7446
(803) 720-1762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217240
SC
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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