Individual
INGRID WATZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2715 COLONIAL DR # 100, COLUMBIA, SC 29203-6818
(803) 898-1555
(803) 898-4830
Mailing address
1911 SATURN LN, COLUMBIA, SC 29209-2940
(845) 652-0634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239534
SC
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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