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Individual

MRS. KRISTIN NICOLE TOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3308 BRUSHY CREEK RD, GREER, SC 29650-1002
(864) 752-2000
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6328

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19167
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3084
SC
Enumeration date
12/03/2014
Last updated
03/28/2016
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