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Individual

MISS ADRA ELAINE BATTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3519 DUFFORD ST UNIT 16, NEWBERRY, SC 29108-1448
(803) 924-8588
Mailing address
3519 DUFFORD ST UNIT 16, NEWBERRY, SC 29108-1448
(803) 924-8588

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400000013586
SC
Enumeration date
02/03/2020
Last updated
02/03/2020
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