Healthcare Provider Details

I. General information

NPI: 1972269470
Provider Name (Legal Business Name): MARIANNA GUY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 OLD SPARTANBURG RD STE A
GREER SC
29650-2756
US

IV. Provider business mailing address

1717 OLD SPARTANBURG RD STE A
GREER SC
29650-2756
US

V. Phone/Fax

Practice location:
  • Phone: 864-729-2757
  • Fax:
Mailing address:
  • Phone: 864-729-2757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number25659
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: