Individual
HAYDEN REECE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
422 MONTAGUE AVE STE 5, GREENWOOD, SC 29649-1961
(864) 990-5074
Mailing address
422 MONTAGUE AVE STE 5, GREENWOOD, SC 29649-1961
(864) 990-5074
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28758
SC LLR
SC
Enumeration date
05/20/2024
Last updated
05/20/2024
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