Individual
LISA W. COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 POLLY POINT RD, WADMALAW IS, SC 29487
(843) 559-2047
Mailing address
1380 POLLY POINT RD, WADMALAW IS, SC 29487
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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