Individual
STEPHANIE NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
853 N CHURCH ST STE 401, SPARTANBURG, SC 29303-3064
(864) 560-6287
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23733
SC
Other
Enumeration date
07/30/2021
Last updated
10/07/2021
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