Individual
LAURA LEIGH MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
123 BELLEVALLEY LN, COLUMBIA, SC 29223-3285
(803) 873-8600
Mailing address
123 BELLEVALLEY LANE, COLUMBIA, SC 29223
(803) 873-8600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2471
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1410
—
SC
Enumeration date
03/07/2006
Last updated
04/18/2024
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