Healthcare Provider Details

I. General information

NPI: 1124463013
Provider Name (Legal Business Name): MILICENT LEIGH GETZ RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PERRY ST
CHARLESTON SC
29403-4797
US

IV. Provider business mailing address

2 PERRY ST
CHARLESTON SC
29403-4797
US

V. Phone/Fax

Practice location:
  • Phone: 843-958-8782
  • Fax:
Mailing address:
  • Phone: 843-958-8782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR79025
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: