SALLIE I PRUGH

COLUMBIA, SC
NPI1720017395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  APN2421)
Enumeration Date2006-07-03
Last Update Date2007-12-17
Business Address
Ms. SALLIE I PRUGH CPNP
14 RICHLAND MEDICAL PARK DR SUITE 400
COLUMBIA, SC 29203-6877
Phone number: 803-434-7950
Mailing Address
Ms. SALLIE I PRUGH CPNP
9 MEDICAL PARK RD SUITE 200A
COLUMBIA, SC 29203-8003
Phone number: 803-434-7950
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