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Individual

MS. GENEVA N SHULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1221 RAMBLIN RD, WEST COLUMBIA, SC 29172-1763
(803) 755-7450
(803) 755-7405
Mailing address
1221 RAMBLIN RD, WEST COLUMBIA, SC 29172-1763
(803) 755-7450
(803) 755-7405

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58443
SC

Other

Enumeration date
02/07/2013
Last updated
02/07/2013
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