Individual
STACEY G BRANYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21 S SHIRLEY AVE, HONEA PATH, SC 29654-1503
(864) 369-0552
(864) 369-1826
Mailing address
21 S SHIRLEY AVE, HONEA PATH, SC 29654-1503
(864) 512-7879
(864) 512-7037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1125
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N90647
—
SC
Enumeration date
06/08/2006
Last updated
12/01/2022
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