STACEY BUMGARDNER

ROCK HILL, SC
NPI1760707558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  4035)
Enumeration Date2010-04-05
Last Update Date2010-04-05
Business Address
Mrs. STACEY BUMGARDNER APRN
222 S HERLONG AVE
ROCK HILL, SC 29732-1158
Phone number: 803-329-6754
Mailing Address
Mrs. STACEY BUMGARDNER APRN
1410 PARK WALK PL
ROCK HILL, SC 29732-2573
Phone number: 803-329-6754