Individual
KRISTEN CHICOLA NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
424 OLD CHEROKEE RD, LEXINGTON, SC 29072-6972
(803) 520-5800
(803) 520-5972
Mailing address
424 OLD CHEROKEE RD, LEXINGTON, SC 29072-6972
(803) 520-5800
(803) 520-5972
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-00952
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
11/05/2020
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