THERESA B PRINCE

WEST COLUMBIA, SC
NPI1376675108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  APRN 1212)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
-- THERESA B PRINCE NP
111 MEDICAL LN E
WEST COLUMBIA, SC 29169-4813
Phone number: 803-936-7679
Mailing Address
-- THERESA B PRINCE NP
2720 SUNSET BLVD ATTN CREDENTIALING
WEST COLUMBIA, SC 29169-4810
Phone number: 803-936-7679
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