Individual
LISA MARIE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 ASHEWICKE DR, COLUMBIA, SC 29229-7057
(803) 243-2164
Mailing address
198 ASHEWICKE DR, COLUMBIA, SC 29229-7057
(803) 243-2164
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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