Healthcare Provider Details

I. General information

NPI: 1598168775
Provider Name (Legal Business Name): PURITY JOY BEY-CUMMINGS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 10/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 S LAKE DR
LEXINGTON SC
29073-3701
US

IV. Provider business mailing address

66 SUMMER BROOK CT
BLYTHEWOOD SC
29016-9583
US

V. Phone/Fax

Practice location:
  • Phone: 803-785-6550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number104571
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: