Individual
NIKKI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
652 CAMP GROUND RD, COLUMBIA, SC 29203-9600
(803) 665-4223
Mailing address
652 CAMP GROUND RD, COLUMBIA, SC 29203-9600
(803) 665-4223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
209740
SC
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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