Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Mar 5, 2025
License(s)
5023977 (NC), 5023977 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 220 5TH AVE E | Hendersonville, NC 28792-4377 | 828-692-4289 |
| LOCATION | 101 E WOOD ST | Spartanburg, SC 29303-3040 | 843-560-5000 |
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