Individual
STACIE WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
932 HOLLY ST, HOLLY HILL, SC 29059-2762
(803) 496-3324
(803) 496-9653
Mailing address
8423 OLD STATE ROAD, HOLLY HILL, SC 29059
(803) 496-3324
(803) 496-9653
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
436478
SC
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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