Healthcare Provider Details

I. General information

NPI: 1124949060
Provider Name (Legal Business Name): MORGAN BLAIR PRINGLE LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 BLUFF RD
COLUMBIA SC
29201-4809
US

IV. Provider business mailing address

1082 ASTORIA DR
COLUMBIA SC
29229-8453
US

V. Phone/Fax

Practice location:
  • Phone: 803-205-2779
  • Fax:
Mailing address:
  • Phone: 803-305-9365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number57840
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: