Individual
MS. CAROLANE BAGNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-1569
Mailing address
108 TEE BOX CT, ST MATTHEWS, SC 29135-8586
(803) 898-1569
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
25945
SC
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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