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Individual

MRS. JANET L KUBAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
114 GATEWAY CORPORATE BLVD STE 420, COLUMBIA, SC 29203-9785
(803) 365-8650
(803) 365-8659
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7878
(615) 920-8775

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2518
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2518
SC LICENSE
SC
05
NP0903
SC
Enumeration date
08/11/2005
Last updated
02/22/2019
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