Individual
MRS. LORENA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 SALUDA RIDGE CT, WEST COLUMBIA, SC 29169-3455
(803) 794-3320
(803) 794-3157
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 794-3320
(803) 794-3157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19734
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3448
—
SC
Enumeration date
09/15/2015
Last updated
08/23/2019
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