Healthcare Provider Details

I. General information

NPI: 1184059651
Provider Name (Legal Business Name): DANA GARLAND LAIRD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA KUSHIN NP

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 THE PKWY STE N
GREER SC
29650-5205
US

IV. Provider business mailing address

420 THE PKWY STE N
GREER SC
29650-5205
US

V. Phone/Fax

Practice location:
  • Phone: 864-743-1776
  • Fax: 864-214-4749
Mailing address:
  • Phone: 864-743-1776
  • Fax: 864-214-4749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18430
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: