Individual
COLTON W BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
222 E MEDICAL LN STE 101, WEST COLUMBIA, SC 29169-4847
(803) 739-3660
(803) 739-3663
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22548
SC
363LA2100X
Acute Care Nurse Practitioner
22548
SC
363LA2200X
Adult Health Nurse Practitioner
22548
SC
363LG0600X
Gerontology Nurse Practitioner
22548
SC
Other
Enumeration date
01/22/2019
Last updated
10/13/2020
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