MEDICARE: MRS. DEBBIE AIKEN CNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	105194E	SC

General Provider Information

NPI Number	:	1922421619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBBIE AIKEN CNA

Provider Business Mailing Address
First Line	:	1604 ALBRITTON RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-3003
Country	:	US
Telephone Number	:	803-727-0220
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 ALBRITTON RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-3003
Country	:	US
Telephone Number	:	803-727-0220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2014
Last Update Date	:	01/30/2014

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