363LA2100X
West Columbia, SC
Specialty
363LA2100X
Credential
ARNP-BC
NPI
1427335157
131 Summerplace Dr., West Columbia, SC 29169
(803) 794-4585Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X