Individual
NINA KRYSTAL GILLIAM-BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1049
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
(864) 241-1049
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
06/21/2010
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