Individual
MISS STACY ELIZABETH AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
2638 TWO NOTCH RD, COLUMBIA, SC 29204-1454
(803) 898-0200
Mailing address
116 W LAKE FARM DR, BLYTHEWOOD, SC 29016-8545
(803) 754-5094
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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