Individual
MS. AIMEE HEATHER ALINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6862
(803) 434-8323
(803) 434-8326
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0205244
SC
363LF0000X
Family Nurse Practitioner
Primary
21698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5739
—
SC
Enumeration date
03/31/2018
Last updated
09/09/2021
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