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Contact Information

LAQUANDA O CHESTNUT
184 ZINNIA DR
MYRTLE BEACH, SC29579-7050
 Phone: 843-455-5691
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for LAQUANDA O CHESTNUT · (Female)

NPI Number 1801414503
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2020
Last updated 07/09/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 551746
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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