Individual
NGAN KIM WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PATEWOOD DR STE B350, GREENVILLE, SC 29615-6337
(864) 454-4500
(864) 454-4505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21558
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4989
—
SC
01
—
SCC1605019
MEDICARE
SC
01
—
SCC1609068
MEDICARE
SC
Enumeration date
01/10/2018
Last updated
05/06/2021
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