Organization · Type 2 NPI

South Carolina Dept of Mental Health Accounting Office

Primary Care Nurse Practitioner · Columbia, SC

NPI number 1861066854 Active

Practice location

2715 Colonial Dr # 200B
Columbia, SC 29203-6818

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1861066854

South Carolina Dept of Mental Health Accounting Office's National Provider Identifier is 1861066854, issued on May 14, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbia, SC. The record was last updated on May 14, 2021.