Healthcare Provider Details

I. General information

NPI: 1902713514
Provider Name (Legal Business Name): COURTNEY AARON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 BOSCOBEL RD
ANDERSON SC
29625-6704
US

IV. Provider business mailing address

108 PADDOCK DR
GREER SC
29650-3841
US

V. Phone/Fax

Practice location:
  • Phone: 864-270-4072
  • Fax:
Mailing address:
  • Phone: 864-270-4072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number228385
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: