Individual
ARIEL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
24646
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24646
SC BOARD OF NURSING
SC
Enumeration date
02/24/2021
Last updated
11/01/2022
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