Individual
MS. LIDIE DORN COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PERRY ST, CHARLESTON, SC 29403-4739
(843) 724-7262
(843) 720-3128
Mailing address
2 PERRY ST, CHARLESTON, SC 29403-4739
(843) 724-7262
(843) 720-3128
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
94773
SC
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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