Zachary Mantooth APRN

NPI 1992190573 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1992190573
Gender Male
Enumeration Date 04/01/2015
Last Updated 04/01/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
6439 GARNERS FERRY RD
COLUMBIA SC, 29209-1638, US
Phone (803) 776-4000
Fax
Business Location
6439 GARNERS FERRY RD
COLUMBIA SC, 29209-1638, US
Phone (803) 776-4000
Fax
Toxanomy
Taxonomy Code 363LG0600X
License State South Carolina
License Number 19305
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According to our database, Zachary Mantooth APRN NPI is 1992190573, taxonomy code is 363LG0600X and license number is 19305, license state is located at South Carolina. Zachary Mantooth APRN physically located at 6439 Garners Ferry Rd, Columbia SC, 29209-1638. NPI Number Zachary Mantooth APRN has the Individual type.

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1992190573 NPI number is provided on an as is basis without warranty of any kind. 1992190573 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Mantooth APRN are for informational purposes only.