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Emily Pack, NP

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

NPI number1366090409
StatusActive
Last updated in NPPESNov 25, 2020

Details

NPI
1366090409
Entity type
Individual (NPI-1)
Name
Emily Pack
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2019
Certification date
Nov 25, 2020
Last updated
Nov 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner22603SCYes

Practice location

1650 Skylyn Dr Ste 120
Spartanburg, SC 29307-1069

Phone 864-216-4525 · Fax 864-216-4514

Mailing address

Po Box 743070
Atlanta, GA 30374-3070

Phone 864-560-4304 · Fax 864-560-4413

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