Individual
LISA TINIQUA FLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 LEESBURG RD, COLUMBIA, SC 29209-2214
(803) 262-1229
Mailing address
267 ALEXANDER POINTE DR, HOPKINS, SC 29061-8228
(803) 386-4007
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007202196
SC
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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