Healthcare Provider Details

I. General information

NPI: 1811891013
Provider Name (Legal Business Name): ETOSHIA L MCFARLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9367 TWO NOTCH RD
COLUMBIA SC
29223-6442
US

IV. Provider business mailing address

209 ELDERS POND CIR
COLUMBIA SC
29229-8172
US

V. Phone/Fax

Practice location:
  • Phone: 803-800-6517
  • Fax:
Mailing address:
  • Phone: 803-800-6517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number34713
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: