Individual
STACI REEVES NALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1736 MAIN ST S, GREENWOOD, SC 29646-4124
(864) 942-3600
Mailing address
1736 MAIN ST S, GREENWOOD, SC 29646-4124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228880
SC
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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