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Ms. Sallie I Prugh, CPNP
Pediatric Nurse Practitioner in Columbia, South Carolina
NPI 1720017395

Sallie I Prugh is a Pediatric Nurse Practitioner based in Columbia, SC and is specialized in Pediatrics. Sallie I Prugh practices in Columbia, SC and has the professional credentials of CPNP. The NPI Number for Sallie I Prugh is 1720017395 and holds a License No. APN2421 (South Carolina).

The current practice location address for Sallie I Prugh is 14 Richland Medical Park Dr, Columbia, SC and can be reached out via phone at 803-434-7950 and via fax at 803-434-8606. You can also correspond with Sallie I Prugh through the mailing address at 9 MEDICAL PARK RD, COLUMBIA, SC - 29203-8003 (mailing address contact number: 803-434-7950).

Location: 14 Richland Medical Park Dr, Columbia, SC, 29203-8003
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Provider Profile Details
NPI Number
1720017395
Provider Name
Sallie I Prugh
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
14 Richland Medical Park Dr, Columbia, SC, 29203-8003
Phone Number
803-434-7950
Fax Number
803-434-8606
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0311 05 SC
institution
Provider Business Practice Location Address Details
Address
14 Richland Medical Park Dr
City
State
Zip
29203-6877
Phone Number
803-434-7950
Fax Number
803-434-8606
person
Provider Business Mailing Address Details
Address
9 Medical Park Rd
City
State
Zip
29203-8003
Phone Number
803-434-7950
Fax Number
803-434-8606
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APN2421 (South Carolina)
Definition
Definition to come...
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