Search › South Carolina › 163W00000X
Aundrea Provence
NPI 1669059093 · on the registry since 2021
Practice
- Address
- 1361 Rail Fence Dr
Columbia, SC 29212 - Phone
- (803) 476-7906
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina