Individual
MRS. ASHLEY V. WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
AGAPE SENIOR PRIMARY CARE INC, 1053 CENTER STREET, WEST COLUMBIA, SC 29169-6749
(800) 491-0909
Mailing address
AGAPE SENIOR PRIMARY CARE INC, 1053 CENTER STREET, WEST COLUMBIA, SC 29169-6749
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22180
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22180
SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION
SC
01
—
F08180491
AAPN
—
Enumeration date
09/01/2018
Last updated
01/22/2019
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