Individual
CECILY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 FARM VALLEY CT, GREER, SC 29650-3600
(864) 270-0112
Mailing address
100 FARM VALLEY CT, GREER, SC 29650-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9618441
FL
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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