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1801454046
MICHAEL PHELPS
GREENWOOD, SC
NPI
1801454046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 22464)
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
MICHAEL PHELPS
160 ACADEMY AVE
GREENWOOD, SC 29646-3808
Phone number: 864-223-8090
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Mailing Address
MICHAEL PHELPS
160 ACADEMY AVE
GREENWOOD, SC 29646-3808
Phone number: 864-223-8090
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