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Phyllis Raynor
Psychiatric/Mental Health Nurse Practitioner in West Columbia, South Carolina
NPI 1265804066

Phyllis Raynor is a Psychiatric/Mental Health Nurse Practitioner based in Irmo, SC and is specialized in Psychiatric/Mental Health. Phyllis Raynor practices in West Columbia, SC. The NPI Number for Phyllis Raynor is 1265804066 and holds a License No. APRN19777 (South Carolina).

The current practice location address for Phyllis Raynor is 2900 Sunset Blvd, West Columbia, SC and can be reached out via phone at 803-796-9911.

Location: 2900 Sunset Blvd, West Columbia, SC, 29063-7929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265804066
Provider Name
Phyllis Raynor
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 Sunset Blvd, West Columbia, SC, 29063-7929
Phone Number
803-796-9911
Fax Number
Provider Enumeration Date
10/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2900 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-3422
Phone Number
803-796-9911
Fax Number
person
Provider Business Mailing Address Details
Address
2900 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-3422
Phone Number
803-796-9911
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN19777 (South Carolina)
Definition
Definition to come...
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