Individual
KRISTY MACBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 HERON AVE, MT PLEASANT, SC 29464-3939
(843) 532-9608
Mailing address
1539 HERON AVE, MT PLEASANT, SC 29464-3939
(843) 532-9608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84195
SC
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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