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1679041297
NATHANIEL CARL STOCKER
COLUMBIA, SC
NPI
1679041297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22325)
Enumeration Date
2018-11-13
Last Update Date
2023-10-09
Business Address
Mr. NATHANIEL CARL STOCKER APRN
1730 MAIN ST
COLUMBIA, SC 29201-2820
Phone number: 803-451-6133
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Mailing Address
Mr. NATHANIEL CARL STOCKER APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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