Individual
TINA MARIA SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-0648
Mailing address
940 CORISON LOOP, COLUMBIA, SC 29229-9389
(803) 898-0648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107959
SC
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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