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1639337009
KATIE G. ROACH
COLUMBIA, SC
NPI
1639337009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 949)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
Mrs. KATIE G. ROACH ANP
1819 MARSHALL ST
COLUMBIA, SC 29203-6907
Phone number: 803-434-7000
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Mailing Address
Mrs. KATIE G. ROACH ANP
709 MOTLEY RD
HOPKINS, SC 29061-9635
Phone number: 803-776-6342
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