Individual
CAITLIN REVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 661-4835
Mailing address
2211 SLIGER CV, FLORENCE, SC 29501-8214
(843) 409-7349
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
229147
SC
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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