Individual
MS. NICOLE KORIN LAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12051 ASHEVILLE HWY, INMAN, SC 29349
(864) 708-3485
(864) 708-3487
Mailing address
12051 ASHEVILLE HWY, INMAN, SC 29349
(864) 708-3485
(864) 708-3487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 1645
SC
Other
Enumeration date
07/08/2006
Last updated
02/09/2018
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