Individual
MISTY K SEABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-5042
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-5042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21125
SC
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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