Individual
BETSEY COLLINS SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
722 HYATT ST, GAFFNEY, SC 29341-2643
(864) 489-2400
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21121
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4593
—
SC
01
—
SCA9135193
MEDICARE PIN
SC
01
—
SCA9136067
MEDICARE PIN
SC
01
—
SCA9136121
MEDICARE PIN
SC
01
—
SCA913J577
MEDICARE PIN
SC
Enumeration date
07/02/2017
Last updated
12/17/2020
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