Individual
MARCIA NESBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 HILLANDALE RD, SPARTANBURG, SC 29301-2050
(864) 621-8478
Mailing address
318 HILLANDALE RD, SPARTANBURG, SC 29301-2050
(864) 621-8478
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007016308
SC
Other
Enumeration date
02/20/2015
Last updated
02/24/2015
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