Individual
STACCEY BASCUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
(855) 206-2136
Mailing address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
(864) 442-4126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23273
SC
Other
Enumeration date
01/20/2020
Last updated
11/24/2022
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