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Misty Windom Polson, FNP-C
Family Nurse Practitioner in Columbia, South Carolina
NPI 1396286365

Misty Windom Polson is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Misty Windom Polson practices in Columbia, SC and has the professional credentials of FNP-C. The NPI Number for Misty Windom Polson is 1396286365 and holds a License No. 20836 (South Carolina).

The current practice location address for Misty Windom Polson is 2750 Laurel St Ste 303, Columbia, SC and can be reached out via phone at 803-252-1953 and via fax at 803-217-6750.

Location: 2750 Laurel St Ste 303, Columbia, SC, 31193-5722
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Provider Profile Details
NPI Number
1396286365
Provider Name
Misty Windom Polson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2750 Laurel St Ste 303, Columbia, SC, 31193-5722
Phone Number
803-252-1953
Fax Number
803-217-6750
Provider Enumeration Date
03/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4524 05 SC
institution
Provider Business Practice Location Address Details
Address
2750 Laurel St Ste 303
City
State
Zip
29204-2025
Phone Number
803-252-1953
Fax Number
803-217-6750
person
Provider Business Mailing Address Details
Address
2750 Laurel St Ste 303
City
State
Zip
29204-2025
Phone Number
803-252-1953
Fax Number
803-217-6750
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20836 (South Carolina)
Definition
Definition to come...
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