Individual
CORRINNA J M O'BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 W FARIS RD STE B, GREENVILLE, SC 29605-4296
(864) 455-6900
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 797-6220
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2844
SC
Other
Enumeration date
11/02/2007
Last updated
07/21/2022
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