Individual
PAIGE MCCOWN ROSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
(864) 603-5600
(864) 603-5601
Mailing address
525 VERDAE BLVD STE 200, GREENVILLE, SC 29607-4021
(864) 603-5600
(864) 603-5601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3624
SC
363LF0000X
Family Nurse Practitioner
Primary
3624
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1863
—
SC
Enumeration date
03/27/2008
Last updated
12/10/2018
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