Individual
NATHAN THOMAS VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
526 ABBERLY VILLAGE CIR, WEST COLUMBIA, SC 29169-2453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253266
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
141139
SC
Other
Enumeration date
06/05/2021
Last updated
05/11/2022
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