TEQUILA ANDERSON

COLUMBIA, SC
NPI1194553826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: SC  29092)
Enumeration Date2024-07-24
Last Update Date2024-10-22
Business Address
TEQUILA ANDERSON NP
3710 LANDMARK DR STE 408
COLUMBIA, SC 29204-4034
Phone number: 803-227-5320
Mailing Address
TEQUILA ANDERSON NP
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 763-348-2075
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