Individual
KAREN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 W BELTLINE BLVD, COLUMBIA, SC 29204-1503
(803) 465-0866
Mailing address
104 WHARTON LN, COLUMBIA, SC 29229-7365
(803) 465-0866
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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