Individual
NICOLE HOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-4360
(843) 792-4063
Mailing address
130 RIVER LANDING DR UNIT 4202, DANIEL ISLAND, SC 29492-7409
(508) 735-6025
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
54674
CA
363A00000X
Physician Assistant
54674
SC
Other
Enumeration date
01/26/2018
Last updated
12/10/2023
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