Individual
LAURA ELIZABETH WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
Mailing address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
01/26/2012
Last updated
03/21/2019
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