PROVISION HEALTHCARE, LLC

Family Nurse Practitioner

NPI: 1669968152Organization

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

BL015940-07-2018(SC)

Contact & Hours

Via practice · 3 locations total

Address: 10120 Two Notch Rd # 133
Columbia, SC 29223
Phone: (803) 373-0063

Locations (3)

Practice Location

10120 Two Notch Rd # 133, Columbia, SC

Practice Location

4611 Hard Scrabble Rd Ste 178, Columbia, SC

Practice Location

1320 MAIN ST STE 300, COLUMBIA, SC

Quick Facts

NPI: 1669968152
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 3

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