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Individual

LAURA E HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
115 BLARNEY DR, SUITE 108, COLUMBIA, SC 29223-6291
(803) 462-9200
(803) 699-1474
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20279
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP4006
SC
Enumeration date
06/22/2016
Last updated
02/23/2018
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