ANNA ILIASOVA

COLUMBIA, SC
NPI1689226557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  22826)
Enumeration Date2019-07-11
Last Update Date2019-07-15
Business Address
ANNA ILIASOVA
400 PALMETTO HEALTH PKWY
COLUMBIA, SC 29212-1760
Phone number: 803-907-7000
Mailing Address
ANNA ILIASOVA
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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