Individual
MARY MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 DOVE TAIL RD, COLUMBIA, SC 29209-3471
(203) 559-6966
Mailing address
410 DOVE TAIL RD, COLUMBIA, SC 29209-3471
(203) 559-6966
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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