Individual
CODY MICHAEL NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.18973
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.18973
SC LICENSE
SC
Enumeration date
07/31/2014
Last updated
03/15/2024
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