Provider Demographics
NPI:1619394483
Name:DRAINS, SYMATHA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:SYMATHA
Middle Name:
Last Name:DRAINS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 KING ST
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-4937
Mailing Address - Country:US
Mailing Address - Phone:843-322-2453
Mailing Address - Fax:843-525-7621
Practice Address - Street 1:1407 KING ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-4937
Practice Address - Country:US
Practice Address - Phone:843-322-2453
Practice Address - Fax:843-525-7621
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR 65904163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse