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Paseo Shatelle Douglas, NP
Family Nurse Practitioner in Florence, South Carolina
NPI 1972155471

Paseo Shatelle Douglas is a Family Nurse Practitioner based in Florence, SC and is specialized in Family. Paseo Shatelle Douglas practices in Florence, SC and has the professional credentials of NP. The NPI Number for Paseo Shatelle Douglas is 1972155471 and holds a License No. 23045 (South Carolina).

The current practice location address for Paseo Shatelle Douglas is 2200 S Irby St, Florence, SC and can be reached out via phone at 843-662-9945.

Location: 2200 S Irby St, Florence, SC, 29505-3423
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Provider Profile Details
NPI Number
1972155471
Provider Name
Paseo Shatelle Douglas
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2200 S Irby St, Florence, SC, 29505-3423
Phone Number
843-662-9945
Fax Number
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23045 01 SC SC LICENSING BOARD
institution
Provider Business Practice Location Address Details
Address
2200 S Irby St
City
State
Zip
29505-3423
Phone Number
843-662-9945
Fax Number
person
Provider Business Mailing Address Details
Address
2200 S Irby St
City
State
Zip
29505-3423
Phone Number
843-662-9945
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
23045 (South Carolina)
Definition
Definition to come...
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