NPI 1366071474 · live from the CMS NPI Registry
Cynthia S Koli, NP-C
Nurse Practitioner, Obstetrics & Gynecology in West Columbia, SC. National Provider Identifier 1366071474, active.
NPI record
| NPI | 1366071474 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 222 E Medical Ln Ste 300, West Columbia, SC 29169 |
| Practice phone | 803-936-8100 |
| Mailing address | Po Box 6069, West Columbia, SC 29171 |
| Enumerated | April 2, 2020 |
| Last updated | November 9, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 23592 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.