Individual
ANGEL JAIMEE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 733-5969
(803) 748-9953
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 748-3395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23470
SC
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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