Doctor Name: | EMILY WAY |
NPI Number: | 1124427034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 99858 |
Business Practice Address: | 110 E Boyce St Manning, SC - 291023408 |
Business Phone Number: | 8034258168 |
Business Fax Number: | |
Mailing Address: | 110 E Boyce St, MANNING |
State: | SC |
Postal Code: | 291023408 |
Phone Number: | 8034258168 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2014 |
NPI Last Update Date: | 08/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | 99858 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |