Individual
ANISHA SHERRIE HEZEKIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2998 W MONTAGUE AVE, SUITE 117, NORTH CHARLESTON, SC 29418-5931
(843) 501-2031
(888) 453-0810
Mailing address
147 SPINDLE WAY, GOOSE CREEK, SC 29445-3635
(843) 697-5282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18693
SC
Other
Enumeration date
04/25/2014
Last updated
05/19/2016
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