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MS. GWENDOLYN COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 935-5735
(803) 935-5939
Mailing address
3005 TWIN OAKS WAY, COLUMBIA, SC 29209-4253
(803) 305-9574

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7599
SC
164W00000X
Licensed Practical Nurse
Primary
P7499
SC

Other

Enumeration date
09/04/2007
Last updated
07/30/2026
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