Individual
MRS. SANDRA HALL-LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1730 CARL RD, COLUMBIA, SC 29210-7707
(803) 466-1710
Mailing address
1730 CARL RD, COLUMBIA, SC 29210-7707
(803) 466-1710
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05505300
NJ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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