Individual
MISS LESLIE B MCDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1333 TAYLOR ST STE 2B, COLUMBIA, SC 29201-2945
(803) 251-6602
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3543
SC BOARD OF NURSING
SC
Enumeration date
04/16/2008
Last updated
08/24/2020
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