Individual
PASEO SHATELLE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 S IRBY ST, FLORENCE, SC 29505-3423
(843) 662-9945
Mailing address
2200 S IRBY ST, FLORENCE, SC 29505-3423
(843) 662-9945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23045
SC LICENSING BOARD
SC
Enumeration date
07/15/2019
Last updated
09/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us