Individual
MS. NANCY A ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
293 GREYSTONE BLVD, 3RD FLOOR, COLUMBIA, SC 29210-8004
(803) 296-7304
(803) 296-7329
Mailing address
7 RICHLAND MEDICAL PARK DR, SUITE 203, COLUMBIA, SC 29203-6863
(803) 434-3507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1658
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1658
STATE LICENSE
SC
Enumeration date
03/19/2007
Last updated
07/08/2007
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