Individual
MRS. ELLA S WEINKLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.P.R.
Contact information
Practice address
THOMSON STUDENT HEALTH CENTER 1400 GREENE STREET, ROOM 303, COLUMBIA, SC 29208-0001
(803) 777-5373
(803) 255-3451
Mailing address
15 MEDICAL PARK RD, SUITE 300, COLUMBIA, SC 29203-8003
(803) 255-3417
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R92602
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0740
—
SC
Enumeration date
05/18/2006
Last updated
07/08/2007
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