Individual
MS. TWANDA DENISE ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
4010 NORTH MAIN STREET,, SUITE 2 OASIS PHYSICAL MEDICINE, COLUMBIA, SC 29203
(803) 786-0559
Mailing address
307 MELSTONE DR, HOPKINS, SC 29061-8363
(803) 695-0905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3897
SC
Other
Enumeration date
12/09/2009
Last updated
07/30/2010
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