NPI | 1326846254 |
---|---|
Doing Business As | SHATARRA SALLEY |
Entity Type | Organization |
Authorized Contact | SHATARRA SALLEY Owner/Np 843-344-5709 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2025-03-05 |
Last Update Date | 2025-03-05 |