Nicole Cantor
Surgery in Columbia, SC. Individual provider (NPI-1).
NPI number1225866007
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1225866007
- Entity type
- Individual (NPI-1)
- Name
- Nicole Cantor
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2024
- Certification date
- Jul 31, 2025
- Last updated
- Aug 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | LL94620 | SC | Yes |
Practice location
2 Medical Park Rd Ste 306Columbia, SC 29203-6839
Phone 732-977-8898
Mailing address
160 Monterry DrWest Columbia, SC 29170
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