Individual
MRS. DENEENA MILLS FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2319 ST.MATTHEWS RD., ORANGEBURG, SC 29115
(803) 536-1571
Mailing address
238 WESLEY GROVE RD, CORDOVA, SC 29039-9627
(803) 747-5218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200814
SC
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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