Individual
MRS. ALICIA NICOLE BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 KING GEORGE WAY, COLUMBIA, SC 29210-4514
(443) 928-0322
Mailing address
125 KING GEORGE WAY, COLUMBIA, SC 29210-4514
(443) 928-0322
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
243735
SC
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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