Individual
MISS CHARLOTTE HATCHELL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP, FNP
Contact information
Practice address
391 SERPENTINE DR, SUITE 400, SPARTANBURG, SC 29303-3096
(864) 560-7517
(864) 560-7520
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
APN1068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0868
—
SC
01
—
SCA4266067
MEDICARE PIN
SC
01
—
SCA4266121
MEDICARE PIN
SC
Enumeration date
05/20/2006
Last updated
12/29/2020
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