Individual
LAUREL ANN DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
145 PARK CENTRAL DR, COLUMBIA, SC 29203-6469
(803) 736-3277
(803) 408-8698
Mailing address
145 PARK CENTRAL DR, COLUMBIA, SC 29203-6469
(803) 736-3277
(803) 408-8698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5549
SC
Other
Enumeration date
01/31/2024
Last updated
10/24/2024
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