Whalio Doctors

NPI 1245251032

Jewel D Southerland, CRNA

Practitioner Registered Nurse West Columbia, SC

Practice location

Address
2720 Sunset Blvd, West Columbia, SC 29169-4810
Phone
(803) 791-2000

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 12832 (SC)

Registry record

NPI
1245251032
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.