SearchSouth CarolinaLicensed Practical Nurse

India Carolina

NPI 1962324731 · on the registry since 2026 · sole proprietor

Practice

Address
2849 Lucille Dr
Columbia, SC 29204
Phone
(803) 463-9051

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-27

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