Most Relevant Information
Provider Data
| NPI Number: | 1003232935 |
| Provider Name: | STEPHANIE MAHURON |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R207413 |
Most Important Dates
| Enumeration Date: | 03/17/2014 |
| Last Updated: | 03/17/2014 |
Provider Practice Location
11015 ELLENTON ST
BARNWELL
SC
298127307
Practice Location Phone/Fax
| Phone: | 8035411061 |
| Fax: | 8035411066 |
Provider Mailing Location
11015 ELLENTON ST
BARNWELL
SC
298127307
Provider Mailing Phone/Fax
| Phone: | 8035411061 |
| Fax: | 8035411066 |