Charlotte L Sloan NP

NPI 1023006863 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023006863
Gender Female
Enumeration Date 10/06/2005
Last Updated 11/06/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
128A PROFESSIONAL PARK DR
AGAPE PHYSICIANS CARE
CONWAY SC, 29526-9260, US
Phone (843) 914-1057
Fax (855) 615-9483
Business Location
1624 MAIN STREET DBA AGAPE PHYSICIANS CARE
AGAPE SENIOR PRIMARY CARE, INC.
COLUMBIA SC, 29201, US
Phone (803) 454-0365
Fax (803) 404-6000
Toxanomy
Taxonomy Code 363L00000X
License State South Carolina
License Number 553
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According to our database, Charlotte L Sloan NP NPI is 1023006863, taxonomy code is 363L00000X and license number is 553, license state is located at South Carolina. Charlotte L Sloan NP physically located at 128a Professional Park Dr, Conway SC, 29526-9260. NPI Number Charlotte L Sloan NP has the Individual type.

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1023006863 NPI number is provided on an as is basis without warranty of any kind. 1023006863 is maintained by the National Plan & Provider Enumeration System. The contents of Charlotte L Sloan NP are for informational purposes only.