Provider Demographics
NPI:1306515978
Name:SEXTON, STEVEN RICHARD (RN)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:RICHARD
Last Name:SEXTON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 TRADEWINDS ST
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-9400
Mailing Address - Country:US
Mailing Address - Phone:812-585-9955
Mailing Address - Fax:
Practice Address - Street 1:HEALTH DEPARTMENT
Practice Address - Street 2:219 S LEMACKS ST
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488
Practice Address - Country:US
Practice Address - Phone:843-549-6855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC256467163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse