Individual
MRS. MEGAN BOYKIN TOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
222 E MEDICAL LN STE 100&200, WEST COLUMBIA, SC 29169-4847
(803) 935-8410
(803) 936-7816
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20297
SC
363LA2100X
Acute Care Nurse Practitioner
18158
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4232
—
SC
Enumeration date
12/12/2013
Last updated
11/11/2020
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