Individual
KATRINA DENISE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 CENTER ST, WEST COLUMBIA, SC 29169-6749
(803) 454-1221
Mailing address
PO BOX 671, SAINT HELENA ISLAND, SC 29920-0671
(843) 321-0221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22628
SC
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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