Individual
MRS. CALLIE COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 ORCHARD GROVE LN, ELGIN, SC 29045-9040
(513) 280-0276
Mailing address
1078 ROBINSON TOWN RD, CASSATT, SC 29032-9238
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
000000000
—
Enumeration date
08/10/2022
Last updated
08/10/2022
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