Individual
BILLY SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
120 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 596-2227
Mailing address
230 ROPER MOUNTAIN ROAD EXT APT 224, GREENVILLE, SC 29615-4825
(864) 251-0996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
87797
SC
163WC1500X
Community Health Registered Nurse
87797
SC
251J00000X
Nursing Care Agency
Primary
87797
SC
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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