Stacy, Cynthia D

Stacy, Cynthia D is an individual health care provider with primary practice located at 502 Sixth Baxter Crossing , Fort Mill SC 29708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stacy, Cynthia D can be contacted via phone (803) 396-8100.

Contact Information

Primary practice address
502 Sixth Baxter Crossing Fort Mill SC 29708
Phone: (803) 396-8100
Fax: (803) 396-8040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN 2740 South Carolina

Profile Details

NPI number 1750348272
LBN Legal business name Stacy, Cynthia D
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 11th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750348272 NPPES
South Carolina MEDICAID NP0940

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