Provider Demographics
NPI:1346303583
Name:LIAGHAT, MARY MARGARET (FNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:LIAGHAT
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:1436 RIVERCHASE BLVD
Mailing Address - Street 2:NEPHROLOGY ASSOCIATES PA
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1777
Mailing Address - Country:US
Mailing Address - Phone:803-329-2636
Mailing Address - Fax:803-329-2184
Practice Address - Street 1:1436 RIVERCHASE BLVD
Practice Address - Street 2:NEPHROLOGY ASSOCIATES PA
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1777
Practice Address - Country:US
Practice Address - Phone:803-329-2636
Practice Address - Fax:803-329-2184
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2023-05-18
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Provider Licenses
StateLicense IDTaxonomies
SCF2597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily