Individual
MRS. JOANNE HENDRICKS ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1825 CAMP RD, CHARLESTON, SC 29412-3504
(843) 762-5533
(843) 762-6212
Mailing address
1030 FORT SUMTER DR, CHARLESTON, SC 29412-4308
(843) 327-1420
(843) 762-6212
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN51052
SC
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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