TEQUILA ANDERSON

WEST COLUMBIA, SC
NPI1194553826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: SC  29092)
Enumeration Date2024-07-24
Last Update Date2026-03-26
Business Address
TEQUILA ANDERSON NP
1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169-5016
Phone number: 803-380-6399
Mailing Address
TEQUILA ANDERSON NP
1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169-5016
Phone number: 803-380-6399