Individual
MICHELE LYNN O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1850 LAUREL ST, COLUMBIA, SC 29201
(803) 256-3400
(803) 256-2039
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7329
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
226
SC
364SA2100X
Acute Care Clinical Nurse Specialist
R80085
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0321
—
SC
Enumeration date
08/01/2006
Last updated
09/06/2018
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