Individual
KRISTY CARTER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 343-5612
Mailing address
336 PRESIDENT ST, CHARLESTON, SC 29403-4314
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3570
SC
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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