Individual
SUMMER NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 PARK CENTRAL DR STE 200, COLUMBIA, SC 29203-6476
(803) 252-9907
(803) 252-9906
Mailing address
121 PARK CENTRAL DR STE 200, COLUMBIA, SC 29203-6476
(803) 252-9907
(803) 252-9906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22955
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22955
STATE LICENSE
SC
05
—
NP6748
—
SC
Enumeration date
06/23/2019
Last updated
09/28/2022
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