Individual
CLARE T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
11 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-4506
(803) 434-1537
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
54-38673
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1829
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0708
—
SC
Enumeration date
07/10/2006
Last updated
04/19/2018
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