Individual
STEPHANIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5269 CALHOUN MEMORIAL HWY, EASLEY, SC 29640-3865
(866) 389-2727
(864) 306-7615
Mailing address
5269 CALHOUN MEMORIAL HWY, EASLEY, SC 29640-3865
(866) 389-2727
(864) 306-7615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4640
—
SC
Enumeration date
07/29/2017
Last updated
04/13/2021
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