Individual
HERMAINE LUCILLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 N KINGS STREET, 221F, COLUMBIA, SC 29223
(803) 979-9711
Mailing address
4464 DEVINE ST STE M, COLUMBIA, SC 29205-3605
(803) 979-9711
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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