Individual
MRS. GRETCHEN HANSELL COLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
103 THOMPSON ST STE 200, LEXINGTON, SC 29072-2543
(803) 796-7270
(803) 796-0106
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2771
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
2771
SC
Other
Enumeration date
01/30/2007
Last updated
06/25/2024
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