Individual
ANGELA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-3100
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-3100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PR34243
SC
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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