Individual
MS. LAVON M ROSS-PURDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203
(803) 545-5350
(803) 545-5353
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 545-5017
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN1907
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0769
—
SC
Enumeration date
04/26/2006
Last updated
06/21/2018
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