Provider Demographics
NPI:1124463013
Name:GETZ, MILICENT LEIGH (RN, BSN)
Entity type:Individual
Prefix:
First Name:MILICENT
Middle Name:LEIGH
Last Name:GETZ
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-4797
Mailing Address - Country:US
Mailing Address - Phone:843-958-8782
Mailing Address - Fax:
Practice Address - Street 1:2 PERRY ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-4797
Practice Address - Country:US
Practice Address - Phone:843-958-8782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR79025163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool