Individual
ALLISON IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4050 BRIDGE VIEW DR, SUITE 600, NORTH CHARLESTON, SC 29405-7488
(843) 579-4530
(843) 525-4075
Mailing address
4050 BRIDGE VIEW DR, SUITE 600, NORTH CHARLESTON, SC 29405-7488
(843) 579-4530
(843) 525-4075
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
223463
SC
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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