Individual
ROXIE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
115 BLARNEY DR STE 108, COLUMBIA, SC 29223-6291
(803) 462-9200
(803) 699-1474
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5000
—
SC
Enumeration date
09/26/2014
Last updated
03/02/2022
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