Individual
ANNE LOUISE GROGAN-HANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, ACNS-BC
Contact information
Practice address
1317 QUAIL VLY W, COLUMBIA, SC 29212-1554
(803) 807-9197
Mailing address
1317 QUAIL VLY W, COLUMBIA, SC 29212-1554
(803) 807-9197
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4337
SC
Other
Enumeration date
11/11/2017
Last updated
03/17/2018
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