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Individual

MS. KIM BRIGITTE WINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
4650 BROAD RIVER RD, COLUMBIA, SC 29210-4016
(803) 896-9460
Mailing address
4650 BROAD RIVER RD, COLUMBIA, SC 29210-4016
(803) 896-9460

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
197336
NC
363LP0200X
Pediatric Nurse Practitioner
197336
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
26187
SC

Other

Enumeration date
02/07/2007
Last updated
08/11/2022
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