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Individual

PATTY HALL CYKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, MSN

Contact information

Practice address
853 N CHURCH ST STE 620, SPARTANBURG, SC 29303-3070
(864) 573-7511
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22926
SC
363LF0000X
Family Nurse Practitioner
5007848
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
QNP339
SC
01
SCF4795206
MEDICARE PIN
SC
Enumeration date
08/06/2015
Last updated
12/15/2020
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