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Individual

MONICA V RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
25 HOSPITAL CENTER BLVD STE 300, HILTON HEAD ISLAND, SC 29926-2739
(843) 682-2800
(843) 682-2828
Mailing address
1859 N PARIS AVE STE 212, PORT ROYAL, SC 29935-2029
(912) 354-4813
(912) 354-4813

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17990
SC
363L00000X
Nurse Practitioner
263283
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17990
LICENSE
SC
Enumeration date
09/02/2011
Last updated
08/31/2021
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