Individual
SHACOLA J NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
719 OKATIE HWY # 170, OKATIE, SC 29909-3963
(843) 987-7400
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
24807
SC
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
11/29/2021
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