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Organization

KNIGHT-SCHLONDROP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN ANN KNIGHT-SCHLONDROP NURSE PRACTITIONER (PMHNP, ADMINISTRATOR)
(803) 979-9666
Entity
Organization

Contact information

Practice address
6326 SAINT ANDREWS RD, SUITE # 201, COLUMBIA, SC 29212-3126
(803) 979-9666
(800) 878-6608
Mailing address
6326 SAINT ANDREWS RD, SUITE # 201, COLUMBIA, SC 29212-3126
(803) 979-9666
(800) 878-6608

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3004
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9610
MEDICARE PTAN
SC
Enumeration date
06/26/2010
Last updated
06/21/2013
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