SearchSouth Carolina3747A0650X

Annie Section

NPI 1871134098 · on the registry since 2019 · sole proprietor

Practice

Address
1304 Bishop Pine Dr
Ladson, SC 29456
Phone
(843) 696-9119

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Female
Record last updated
2019-09-30

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