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CYNTHIA D STACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
502 SIXTH BAXTER CROSSING, FORT MILL, SC 29708
(803) 396-8100
(803) 396-8040
Mailing address
502 SIXTH BAXTER CROSSING, FORT MILL, SC 29708
(803) 396-8100
(803) 396-8040

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 2740
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0940
SC
Enumeration date
04/27/2006
Last updated
12/11/2008
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