Individual
MALLORY CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5766
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20641
SC
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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