Individual
ANGELA NICOLE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1003 GROVE RD STE C2, GREENVILLE, SC 29605-4623
(844) 891-7255
Mailing address
110 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 293-0942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21603
SC
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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