Individual
MR. DWAYNE RANDOLPH ALLEYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3853
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6786
—
SC
Enumeration date
03/31/2009
Last updated
05/27/2020
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