Individual
ALEXANDRA MACKENZIE STARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 777-7412
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27621
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2023
Last updated
04/18/2024
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