Organization
INVISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE K FREEMAN RN (OCCUPATIONAL HEALTH NURSE)
(803) 425-3363
Entity
Organization
Contact information
Practice address
643 HIGHWAY 1 S, LUGOFF, SC 29078-9174
(803) 425-3363
(803) 425-2742
Mailing address
643 HIGHWAY 1 S, LUGOFF, SC 29078-9174
(803) 425-3363
(803) 425-2742
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
35976
SC
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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