Individual
ASHLEY COOPER THARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, A-GNP-C
Contact information
Practice address
146 N HOSPITAL DR STE 310, WEST COLUMBIA, SC 29169-4800
(803) 936-8901
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 796-8901
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21492
SC
363LG0600X
Gerontology Nurse Practitioner
21492
SC
Other
Enumeration date
11/29/2017
Last updated
05/02/2018
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