Individual
NATASKA RENEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MILLS AVE STE B, GREENVILLE, SC 29605-4280
(864) 320-4117
Mailing address
118 HARVEST GLEN DR, PIEDMONT, SC 29673-5619
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
SC
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831413506
—
SC
Enumeration date
08/19/2021
Last updated
08/10/2023
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