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Organization
NURSE PRACTITIONERS OF THE CAROLINAS
Active
Organization
NURSE PRACTITIONERS OF THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE LARISSA OVERTON NP (NURSE PRACTITIONER)
(803) 429-7716
Entity
Organization
Contact information
Practice address
10120 TWO NOTCH RD, COLUMBIA, SC 29223-4395
(803) 429-7716
Mailing address
10120 TWO NOTCH RD, COLUMBIA, SC 29223-4395
(803) 429-7716
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
19829
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3664
—
SC
Enumeration date
03/21/2017
Last updated
03/21/2017
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