Individual
NICOLE CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MEDICAL PARK RD STE 306, COLUMBIA, SC 29203-6839
(732) 977-8898
Mailing address
160 MONTERRY DR, WEST COLUMBIA, SC 29170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL94620
SC
Other
Enumeration date
07/23/2024
Last updated
08/05/2025
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