Individual
EVER S COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1228 HARDEN ST STE A, COLUMBIA, SC 29204-1800
(803) 722-1565
(803) 888-1771
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 217-0026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201302
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FQC031
MEDICAID FQC31
SC
Enumeration date
02/08/2013
Last updated
09/16/2025
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