Individual
STACIE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 RHOMBOID PL, BELVEDERE, SC 29841-2635
(803) 442-6330
Mailing address
201 RHOMBOID PL, BELVEDERE, SC 29841-2635
(803) 442-6330
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
214152
SC
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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