Search › South Carolina › 163WH0200X
Roosevelt Stackhouse, RN
NPI 1225455074 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1705 W Evans St
Florence, SC 29501 - Phone
- (843) 774-1577
- Fax
- (843) 774-1047
- Organisation at this address
- State Of South Carolina
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina