Individual
EMMA DETTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
47 KENNEDY ST APT A, CHARLESTON, SC 29403-6536
(219) 608-3686
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
276363
SC
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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