Individual
MRS. CATHY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 WESTVIEW DR, GOOSE CREEK, SC 29445-3007
(843) 572-3313
(843) 572-6812
Mailing address
106 WESTVIEW DR, GOOSE CREEK, SC 29445-3007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.79660 R
SC
163WA2000X
Administrator Registered Nurse
RN.79660 R
SC
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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