Individual
CARRIE REVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
9291 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9126
(843) 797-3664
Mailing address
9291 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9126
(843) 797-3664
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN 2823
SC
Other
Enumeration date
03/26/2007
Last updated
07/29/2010
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