Individual
PHYLLIS C POYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1410 BLANDING ST STE 102, COLUMBIA, SC 29201-2967
(803) 256-2500
(803) 758-1726
Mailing address
PO BOX 7531, COLUMBIA, SC 29202-7531
(803) 256-2500
(803) 758-1726
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
20563
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0130
—
SC
Enumeration date
05/18/2006
Last updated
04/16/2018
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