Individual
MRS. STEPHANIE POWERS MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 PARKVIEW DR, LAURENS, SC 29360-2652
(864) 984-0571
(864) 984-3610
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
23002
SC
363LP2300X
Primary Care Nurse Practitioner
23002
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6125
—
SC
Enumeration date
07/01/2019
Last updated
04/14/2021
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