Dacia Wilson Mackenzie CRNA

NPI 1144556564 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1144556564
Gender Female
Enumeration Date 10/20/2009
Last Updated 06/01/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
9263 MEDICAL PLAZA DR
STE E
CHARLESTON SC, 29406-7112, US
Phone (843) 572-1228
Fax (877) 561-7564
Business Location
9263 MEDICAL PLAZA DR
STE E
CHARLESTON SC, 29406-7112, US
Phone (843) 572-1228
Fax (877) 561-7564
Toxanomy
Taxonomy Code 390200000X
License State South Carolina
License Number R93755
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According to our database, Dacia Wilson Mackenzie CRNA NPI is 1144556564, taxonomy code is 390200000X and license number is R93755, license state is located at South Carolina. Dacia Wilson Mackenzie CRNA physically located at 9263 Medical Plaza Dr, Charleston SC, 29406-7112. NPI Number Dacia Wilson Mackenzie CRNA has the Individual type.

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1144556564 NPI number is provided on an as is basis without warranty of any kind. 1144556564 is maintained by the National Plan & Provider Enumeration System. The contents of Dacia Wilson Mackenzie CRNA are for informational purposes only.