Organization
GIFTED HANDS CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALONDRICE MICHELLE WARD DNP, FNP-C (OWNER)
(843) 687-5661
Entity
Organization
Contact information
Practice address
1353 JEFFERSON DR, FLORENCE, SC 29501-5357
(843) 687-5661
Mailing address
413 E JACKSON ST, LAMAR, SC 29069-9164
(843) 687-5661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912432311
—
SC
Enumeration date
03/31/2022
Last updated
03/31/2022
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