Individual
MS. REGINA PEARL STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 S EVANDER DR, FLORENCE, SC 29506-4212
(843) 432-2935
(843) 799-4297
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22777
SC
Other
Enumeration date
04/08/2019
Last updated
09/30/2020
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