Individual
COURTNEY ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2935 COLONIAL DR, COLUMBIA, SC 29203-6811
(803) 254-7777
Mailing address
2935 COLONIAL DR, COLUMBIA, SC 29203-6811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24052
SC
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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