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Individual

MRS. KRISTIN MAUREEN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
7825 BROAD RIVER RD STE 100, IRMO, SC 29063-2375
(803) 509-8844
(803) 509-8845
Mailing address
7825 BROAD RIVER RD STE 100, IRMO, SC 29063-2375
(803) 509-8844
(803) 509-8845

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25000
SC

Other

Enumeration date
09/23/2014
Last updated
08/14/2024
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