Individual
DR. NICOLE YVONNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1313 SAINT ANDREWS RD STE 3, COLUMBIA, SC 29210
(803) 543-2913
(803) 708-4365
Mailing address
7001 SAINT ANDREWS RD STE 428, COLUMBIA, SC 29212-1137
(803) 543-2913
(803) 708-4365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1090
SC
207Q00000X
Family Medicine Physician
2024041698
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010909
—
SC
Enumeration date
07/17/2007
Last updated
10/24/2024
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