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Anna Iliasova
Family Nurse Practitioner in Columbia, South Carolina
NPI 1689226557

Anna Iliasova is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Anna Iliasova practices in Columbia, SC. The NPI Number for Anna Iliasova is 1689226557 and holds a License No. 22826 (South Carolina).

The current practice location address for Anna Iliasova is 400 Palmetto Health Pkwy, Columbia, SC and can be reached out via phone at 803-907-7000.

Location: 400 Palmetto Health Pkwy, Columbia, SC, 30374-3904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689226557
Provider Name
Anna Iliasova
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Palmetto Health Pkwy, Columbia, SC, 30374-3904
Phone Number
803-907-7000
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Palmetto Health Pkwy
City
Columbia
State
South Carolina
Zip
29212-1760
Phone Number
803-907-7000
Fax Number
person
Provider Business Mailing Address Details
Address
400 Palmetto Health Pkwy
City
Columbia
State
South Carolina
Zip
29212-1760
Phone Number
803-907-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22826 (South Carolina)
Definition
Definition to come...
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