Individual
WENDY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 THOMASINA MCPHERSON BLVD, NORTH CHARLESTON, SC 29405-8283
(843) 745-2184
(843) 745-2182
Mailing address
2808 CAITLINS WAY, MOUNT PLEASANT, SC 29466-6500
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
38558
SC
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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