Individual
LILIA VITALYEVNA POTAFIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
196 CROW RD, INMAN, SC 29349-8706
(864) 875-3005
Mailing address
196 CROW RD, INMAN, SC 29349-8706
(864) 875-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236378
SC
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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