Individual
CHARLENE MACKANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
59 GEORGE ST, CHARLESTON, SC 29401
(866) 398-2727
Mailing address
59 GEORGE ST, CHARLESTON, SC 29401-1422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.21893
SC
Other
Enumeration date
04/28/2015
Last updated
08/20/2018
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