Individual
GRACIE RAE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7758
(864) 885-7749
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227277
SC
363LF0000X
Family Nurse Practitioner
Primary
24288
SC
Other
Enumeration date
09/04/2020
Last updated
03/28/2022
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