Individual
MISS CORNELIA NAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1100 N IRBY ST, FLORENCE, SC 29501-2632
(843) 664-8160
(843) 679-6752
Mailing address
1100 N IRBY ST, FLORENCE, SC 29501-2632
(843) 664-8160
(843) 679-6752
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
93039
SC
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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