Individual
NICHOLE LEMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2728 SUNSET BLVD STE 400, WEST COLUMBIA, SC 29169-4872
(803) 744-4900
(803) 744-4938
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 744-4900
(803) 744-4938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3269
SC
363AS0400X
Surgical Physician Assistant
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3940PA
—
SC
Enumeration date
10/19/2018
Last updated
07/17/2024
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