ANDREA ELLIS

AIKEN, SC
NPI1629472550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: SC  18950)
Enumeration Date2014-10-21
Last Update Date2015-02-06
Business Address
-- ANDREA ELLIS
3525 AUGUSTUS ROAD AGAPE PHYSICIANS CARE
AIKEN, SC 29801
Phone number: 803-454-3510
Mailing Address
-- ANDREA ELLIS
1624 MAIN STREET AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C
COLUMBIA, SC 29201
Phone number: 803-454-0365
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