Individual
CYNTHIA NATHANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1714 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9184
(803) 257-4811
Mailing address
1714 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9184
(803) 257-4811
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-0933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1834296
INTERNAL REVENUE SERVICE
—
Enumeration date
01/24/2019
Last updated
01/24/2019
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