Individual
DOROTHY E TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 238-5641
(803) 635-1410
Mailing address
2715 BLOSSOM ST, COLUMBIA, SC 29205-2501
(803) 238-5641
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
1611
SC
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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