Individual
RILEY DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
(800) 805-6989
Mailing address
8850 DORCHESTER RD APT 823, NORTH CHARLESTON, SC 29420-7354
(828) 674-7430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53663
SC
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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