Individual
TERESA PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2102 OTRANTO BLVD, SUITE A, NORTH CHARLESTON, SC 29406-9841
(843) 310-0498
Mailing address
2102 OTRANTO BLVD, SUITE A, NORTH CHARLESTON, SC 29406-9841
(843) 310-0498
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18243
SC
Other
Enumeration date
05/02/2013
Last updated
04/08/2015
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