Healthcare Provider Details

I. General information

NPI: 1326739954
Provider Name (Legal Business Name): PATRICIA STARNES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 DEADFALL RD W
GREENWOOD SC
29649-9545
US

IV. Provider business mailing address

6636 HIGHWAY 72 W
CLINTON SC
29325-6346
US

V. Phone/Fax

Practice location:
  • Phone: 864-941-5700
  • Fax:
Mailing address:
  • Phone: 864-547-7038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number204634
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: