Individual
ANGIE GILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 HIERS CORNER RD, WALTERBORO, SC 29488-2831
(843) 782-4512
(843) 782-3853
Mailing address
633 HIERS CORNER RD, WALTERBORO, SC 29488-2831
(843) 782-4512
(843) 782-3853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71700
SC
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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