Individual
MISS STACIE MICHELLE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
209 PATEWOOD DR, SUITE 200, GREENVILLE, SC 29615-3581
(864) 234-9900
(864) 254-9459
Mailing address
209 PATEWOOD DR, SUITE 200, GREENVILLE, SC 29615-3581
(864) 234-9900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19015
SC
363LG0600X
Gerontology Nurse Practitioner
19015
SC
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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