Individual
KARA CHARNELLE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-3002
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22496
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2843
—
SC
Enumeration date
01/02/2019
Last updated
01/21/2022
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