Individual
BEVERLY ASBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 SEMINOLE DR, ORANGEBURG, SC 29115-7622
(803) 662-9701
Mailing address
260 SEMINOLE DR, ORANGEBURG, SC 29115-7622
(803) 662-9701
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
CRC-1402
SC
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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