Individual
MS. LAUREN MCKINNEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PALMETTO HEALTH PKWY STE 200, COLUMBIA, SC 29212-1755
(803) 907-8670
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3283
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005PA
—
SC
Enumeration date
10/22/2018
Last updated
03/28/2023
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