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Mitzi Creel
Student in an Organized Health Care Education/Training Program in Simpsonville, South Carolina
NPI 1861936320

Mitzi Creel is a Student in an Organized Health Care Education/Training Program based in Simpsonville, SC. Mitzi Creel practices in Simpsonville, SC. The NPI Number for Mitzi Creel is 1861936320 and holds a License No. C640558626680 (South Carolina).

The current practice location address for Mitzi Creel is 105 Wingcup Way, Simpsonville, SC and can be reached out via phone at 434-394-4244.

Location: 105 Wingcup Way, Simpsonville, SC, 29680-6872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861936320
Provider Name
Mitzi Creel
Credential
Provider Entity Type
Organization
Address
105 Wingcup Way, Simpsonville, SC, 29680-6872
Phone Number
434-394-4244
Fax Number
Provider Enumeration Date
12/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 Wingcup Way
City
Simpsonville
State
South Carolina
Zip
29680-6872
Phone Number
434-394-4244
Fax Number
person
Provider Business Mailing Address Details
Address
105 Wingcup Way
City
Simpsonville
State
South Carolina
Zip
29680-6872
Phone Number
434-394-4244
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
C640558626680 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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