Individual
COLBY ELIZABETH GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
448 OLD CHEROKEE RD, LEXINGTON, SC 29072-9031
(803) 520-5800
(803) 520-5801
Mailing address
2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
(803) 520-9380
(803) 520-5972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17784
SC
Other
Enumeration date
04/24/2012
Last updated
07/21/2022
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