Individual
CECELIA SANTANA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23134
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6172
—
SC
01
—
SCG1985019
MEDICARE PIN
SC
01
—
SCG1989068
MEDICARE PIN
SC
01
—
SCG198J577
MEDICARE PIN
—
Enumeration date
08/13/2019
Last updated
10/29/2021
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