Individual
CARLY LANE SEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 675-5950
Mailing address
126 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 675-5950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24793
SC
363LF0000X
Family Nurse Practitioner
Primary
24793
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7494
—
SC
Enumeration date
09/28/2020
Last updated
07/15/2026
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