Individual
MARCUS KYLE MAUNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
301 SHOALLY RIDGE DR, BOILING SPRINGS, SC 29316-5423
(864) 804-8095
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
249178
SC
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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