Individual
STEPHANIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 E NORTH ST, GREENVILLE, SC 29607-1247
(864) 344-6221
Mailing address
300 YUKON DR, GREENVILLE, SC 29605-6094
(864) 344-6221
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
IHCP-1267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-0958583
HOME CARE
SC
Enumeration date
10/07/2020
Last updated
10/07/2020
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