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Tina Luanne Green, FNP-BC
Family Nurse Practitioner in Gaffney, South Carolina
NPI 1013476506

Tina Luanne Green is a Family Nurse Practitioner based in Lyman, SC and is specialized in Family. Tina Luanne Green practices in Gaffney, SC and has the professional credentials of FNP-BC. The NPI Number for Tina Luanne Green is 1013476506 and holds a License No. 21930 (South Carolina).

The current practice location address for Tina Luanne Green is 104 Willis Plz, Gaffney, SC and can be reached out via phone at 800-792-9030.

Location: 104 Willis Plz, Gaffney, SC, 29365-9509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013476506
Provider Name
Tina Luanne Green
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
104 Willis Plz, Gaffney, SC, 29365-9509
Phone Number
800-792-9030
Fax Number
Provider Enumeration Date
03/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21930 01 SC OFFICE DOES NOT ACCEPT INSURANCE, MEDICARE OR MEDICAID.
institution
Provider Business Practice Location Address Details
Address
104 Willis Plz
City
Gaffney
State
South Carolina
Zip
29341-1500
Phone Number
800-792-9030
Fax Number
person
Provider Business Mailing Address Details
Address
104 Willis Plz
City
Gaffney
State
South Carolina
Zip
29341-1500
Phone Number
800-792-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
21930 (South Carolina)
Definition
Definition to come...
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