Individual
NICOLE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 RICE MEADOW WAY, 3, COLUMBIA, SC 29229-8403
(803) 369-1203
Mailing address
7648 GARNERS FERRY RD, 148, COLUMBIA, SC 29209-3867
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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