Individual
FELICIA COLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 GASTON SPRING CT, GASTON, SC 29053-8440
(803) 735-6322
Mailing address
328 GASTON SPRING CT, GASTON, SC 29053-8440
(803) 735-6322
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
40453
SC
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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