Individual
MISS MICHAELA RAYE WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 CALVARY CHURCH RD, SWANSEA, SC 29160-8878
(803) 465-0284
Mailing address
1041 CALVARY CHURCH RD, SWANSEA, SC 29160-8878
(803) 465-0284
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
235648
SC
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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