Individual
MINDY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
923 CURRYTOWNE BLVD, NORTH AUGUSTA, SC 29860-8929
(803) 508-0125
Mailing address
336 GEORGIA AVE SUITE 106, BOX #176, NORTH AUGUSTA, SC 29841
(803) 508-0125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
215776
SC
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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