Individual
MOLLIE CARTER COTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1526 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8622
(803) 749-1155
(803) 749-1786
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19117
SC
363L00000X
Nurse Practitioner
5006460
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
19117
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093141004
—
NC
Enumeration date
09/23/2013
Last updated
08/01/2025
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