Individual
KAREN B BELISSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 W EVANS ST, FLORENCE, SC 29501-3322
(843) 921-1900
Mailing address
2111 W JODY RD, FLORENCE, SC 29501-2031
(843) 629-0103
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W87742SC1
—
SC
Enumeration date
11/17/2021
Last updated
11/17/2021
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