Individual
MEREDITH WATSON EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 256-5300
Mailing address
161 MORNING LAKE DR, LEXINGTON, SC 29072-7519
(803) 767-2913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20268
SC
Other
Enumeration date
06/21/2016
Last updated
03/04/2020
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