Individual
MARY SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
247882
SC
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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