Individual
MARY H WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
(864) 299-1600
Mailing address
31 CONWAY DR, GREENVILLE, SC 29615-2114
(864) 299-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F864
SC
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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