STACEY GLEN BANIS

MYRTLE BEACH, SC
NPI1396389938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  23374)
Enumeration Date2019-11-06
Last Update Date2025-12-09
Business Address
STACEY GLEN BANIS APRN
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1000
Mailing Address
STACEY GLEN BANIS APRN
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1000
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