Individual
NICOLE ELIZABETH WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS ST STE 309, CHARLESTON, SC 29425-8900
(843) 792-3222
(843) 792-8626
Mailing address
96 JONATHAN LUCAS ST STE 309, CHARLESTON, SC 29425-8900
(843) 792-3222
(843) 792-8626
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
LL24589
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL24589
SC MEDICAL LICENSE
SC
Enumeration date
11/02/2006
Last updated
07/08/2007
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