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Mary Ann Buchanan Agostino, NP

Nurse Practitioner, Family in Greenville, SC. Individual provider (NPI-1).

NPI number1306554225
StatusActive
Last updated in NPPESNov 28, 2022

Details

NPI
1306554225
Entity type
Individual (NPI-1)
Name
Mary Ann Buchanan Agostino
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 9, 2022
Certification date
Nov 28, 2022
Last updated
Nov 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26712SCYes

Practice location

877 W Faris Rd Ste D
Greenville, SC 29605-4296

Phone 864-455-0931 · Fax 864-455-9014

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

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