Individual
ANNIE LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 442-7200
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
363LN0000X
SC
Other
Enumeration date
09/22/2014
Last updated
11/06/2018
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