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1265039317
ELISABETH A WALTER
COLUMBIA, SC
NPI
1265039317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 24923)
Enumeration Date
2020-10-01
Last Update Date
2023-08-30
Business Address
ELISABETH A WALTER
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-777-7412
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Mailing Address
ELISABETH A WALTER
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number:
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