Individual
STACY LYNN WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
914 REYNOLDS RD, BARNWELL, SC 29812-6358
(803) 259-5311
(803) 259-5196
Mailing address
914 REYNOLDS RD, BARNWELL, SC 29812-6358
(803) 259-5311
(803) 259-5196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
196303
GA
363LF0000X
Family Nurse Practitioner
Primary
21687
SC
Other
Enumeration date
10/06/2015
Last updated
03/17/2018
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