Individual
KEESHA NICOLE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 PARK ST STE 1011619, COLUMBIA, SC 29201-2011
(803) 900-3862
Mailing address
2000 PARK ST STE 1011619, COLUMBIA, SC 29201-2011
(803) 900-3862
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D2331796
SC
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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