Individual
JENNIFER GARVIN HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 S LOGAN ST, GAFFNEY, SC 29341-1609
(864) 487-2705
Mailing address
222 PLANTATION DR, GAFFNEY, SC 29340-5654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65342
SC
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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