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Individual

MS. SHELBY LANE RIALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC, FNP

Contact information

Practice address
6439 GARNERS FERRY RD, A116, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-6891
Mailing address
125 HOBDEN CT, LEXINGTON, SC 29073-7125
(803) 356-6702
(803) 356-6702

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
576
SC

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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