Individual
CAROLINE GENCDUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 RUTLEDGE AVE # B, CHARLESTON, SC 29425-8903
(843) 709-2872
Mailing address
187 GROVE ST, CHARLESTON, SC 29403-3633
(843) 709-2872
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
240755
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
30472
SC
Other
Enumeration date
08/25/2023
Last updated
06/10/2025
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