Individual
PAOLA ANDREA MORA TOBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 PATEWOOD DR STE 320, GREENVILLE, SC 29615-3593
(864) 454-5100
(864) 241-9238
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22286
SC
Other
Enumeration date
11/11/2019
Last updated
12/10/2019
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