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Individual

ALYSON MOONEYHAN CLISBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
6 MEDICAL PARK RD, COLUMBIA, SC 29203
(803) 434-5050
Mailing address
1440 ORANGE GROVE RD, CHARLESTON, SC 29407-3623

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218093
SC

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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