Individual
GEORGIA WELNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 LESLIE LOCH LN, COLUMBIA, SC 29212-8630
(803) 917-3674
Mailing address
126 LESLIE LOCH LN, COLUMBIA, SC 29212-8630
(803) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
61926
SC
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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