Individual
MRS. AVIS CAROL BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, B.C.
Contact information
Practice address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-4867
Mailing address
201 RAINSBOROUGH WAY, COLUMBIA, SC 29229-8870
(803) 419-9343
(803) 898-4899
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
31238
SC
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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