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Individual

MS. EVELYN P STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1135 CARTER ST, COLUMBIA, SC 29204-2811
(803) 754-9763
Mailing address
1000 HAVERFORD CIR, COLUMBIA, SC 29203-2039
(803) 691-1423

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P20144
SC

Other

Enumeration date
01/24/2007
Last updated
07/08/2007
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