Individual
MICHELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6450 RIVERS AVE, NORTH CHARLESTON, SC 29406-4882
(843) 818-5100
Mailing address
108 CORDOBA CT, GOOSE CREEK, SC 29445-8802
(843) 814-6288
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P28536
SC
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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