Nu South Providers
NPI #1144038274 in Moncks Corner, South Carolina
Provider Information
- NPI Number
- 1144038274
- Entity Type
- Organization
- Organization Name
- Nu South Providers
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 20, 2024
- Last Updated
- Dec 24, 2024
Practice Location
- Address
- 117 NORTH HIGHWAY 52
- Address 2
- UNIT 56
- City
- Moncks Corner
- State
- South Carolina
- ZIP Code
- 29461-0056
- Phone
- (843) 900-7098
Authorized Official
- Name
- KIMBERLY DAVIS
- Title
- CREDENTIALING SPECIALISTS
- Phone
- (912) 373-4385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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