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Provision Healthcare, Llc
Family Nurse Practitioner in Columbia, South Carolina
NPI 1669968152

Provision Healthcare, Llc is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Provision Healthcare, Llc practices in Columbia, SC. The NPI Number for Provision Healthcare, Llc is 1669968152 and holds a License No. BL015940-07-2018 (South Carolina).

The current practice location address for Provision Healthcare, Llc is 1320 Main St Ste 300, Columbia, SC and can be reached out via phone at 803-373-0063.

Location: 1320 Main St Ste 300, Columbia, SC, 29229-8584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669968152
Provider Name
Provision Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
1320 Main St Ste 300, Columbia, SC, 29229-8584
Phone Number
803-373-0063
Fax Number
Provider Enumeration Date
07/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1320 Main St Ste 300
City
Columbia
State
South Carolina
Zip
29201-3266
Phone Number
803-373-0063
Fax Number
person
Provider Business Mailing Address Details
Address
1320 Main St Ste 300
City
Columbia
State
South Carolina
Zip
29201-3266
Phone Number
803-373-0063
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
BL015940-07-2018 (South Carolina)
Definition
Definition to come...
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