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LACHISH JASMIN MCCLURKIN MCMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 972-7776
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN204625
GA

Other

Enumeration date
09/13/2019
Last updated
08/14/2025
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