Provider Demographics
NPI:1164868642
Name:KOLASI, FELICIA HUNTER
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:HUNTER
Last Name:KOLASI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 DONNE CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7561
Mailing Address - Country:US
Mailing Address - Phone:864-214-4423
Mailing Address - Fax:
Practice Address - Street 1:8 CEDAR DONNE CIR
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-7561
Practice Address - Country:US
Practice Address - Phone:864-999-0674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide