Individual
NAYANKA ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6113
Mailing address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6113
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MMD.92572
SC
Other
Enumeration date
04/06/2021
Last updated
07/30/2024
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