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Individual

AFUSAT T NESBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18137
SC
367500000X
Certified Registered Nurse Anesthetist
3007352
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN2251
SC
01
P01038657
RRMEDICARE
KY
Enumeration date
02/20/2012
Last updated
02/03/2022
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