Individual
ROBERTA POUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6353
Mailing address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6353
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
206718
SC
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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