Individual
SANDRITA MONIQUE EADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2935 COLONIAL DR, COLUMBIA, SC 29203-6811
(806) 401-1325
Mailing address
5224 75TH ST STE D, LUBBOCK, TX 79424-2525
(806) 712-1096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238251
SC
363LF0000X
Family Nurse Practitioner
Primary
31675
SC
Other
Enumeration date
09/06/2019
Last updated
08/05/2026
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