Individual
LAUREN INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3611 PELHAM RD, GREENVILLE, SC 29615-5002
(864) 530-3500
(864) 560-3525
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24233
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCJ9545019
MEDICARE PIN
SC
01
—
SCJ9546067
MEDICARE PIN
SC
01
—
SCJ9546084
MEDICARE PIN
SC
01
—
SCJ954J577
MEDICARE PIN
SC
Enumeration date
04/15/2021
Last updated
01/19/2022
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