Individual
MRS. JAIME WATERS CARDOZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 935-8538
(803) 791-2660
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8538
(803) 791-2660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
078258
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
18170
SC
367500000X
Certified Registered Nurse Anesthetist
RN200338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078258
CRNA
NC
Enumeration date
01/29/2008
Last updated
07/03/2026
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