Individual
MRS. ERICA TYNER MOLLOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
3021 MANCHESTER RD, COLUMBIA, SC 29204-7722
(803) 351-0669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98276
SC
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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