Individual
EBONIE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
332 MEADOW SAFFRON DR, LEXINGTON, SC 29073-9774
(803) 238-2414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22811
SC
Other
Enumeration date
05/26/2019
Last updated
08/25/2023
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