Healthcare Provider Details

I. General information

NPI: 1588748925
Provider Name (Legal Business Name): DONNA J COLE RN, MN, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6439 GARNERS FERRY RD
COLUMBIA SC
29209-1638
US

IV. Provider business mailing address

2709 CLIFFSIDE DR
COLUMBIA SC
29209-4203
US

V. Phone/Fax

Practice location:
  • Phone: 803-776-4000
  • Fax: 803-695-7950
Mailing address:
  • Phone: 803-776-1338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberR21488
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: