Individual
MRS. CHARLENE PRUITT DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(843) 792-1414
Mailing address
270 MOUNT HOPE DR, ORANGEBURG, SC 29118-9013
(360) 972-6819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100632
SC
363L00000X
Nurse Practitioner
19888
SC
363LF0000X
Family Nurse Practitioner
Primary
19888
SC
363LF0000X
Family Nurse Practitioner
AP60733421
WA
Other
Enumeration date
04/30/2015
Last updated
03/24/2025
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