Individual
ANGELA EVANS-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
755 US HIGHWAY 21 S, RIDGEWAY, SC 29130-6844
(803) 337-2920
(803) 337-3010
Mailing address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 733-5969
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R189322
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
25845
SC
Other
Enumeration date
11/10/2014
Last updated
05/13/2022
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