Individual
STEPHANIE BORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2498 N PLEASANTBURG DR, GREENVILLE, SC 29609-2730
(864) 305-5000
Mailing address
339 BROWN FARM WAY, TAYLORS, SC 29687-6261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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