Individual
T'SHEIRA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 POWELL DR, LEXINGTON, SC 29072-9203
(803) 956-8400
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024180723
VA
363LF0000X
Family Nurse Practitioner
Primary
24810
SC
Other
Enumeration date
01/30/2022
Last updated
01/16/2024
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