Individual
ELVIRA THERESA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT. HAIR LOSS SPEC
Contact information
Practice address
421 BUSH RIVER RD, SUITE 102, COLUMBIA, SC 29210-7332
(803) 731-1020
(803) 333-9831
Mailing address
718 CAMP GROUND RD, COLUMBIA, SC 29203-9442
(803) 210-7669
(803) 333-9831
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
10401
SC
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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