Individual
DR. ELIZABETH M MCMICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
131 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 796-2222
(803) 796-7839
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
21044
SC
363L00000X
Nurse Practitioner
Primary
21044
SC
Other
Enumeration date
06/21/2017
Last updated
11/09/2020
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