Healthcare Provider Details

I. General information

NPI: 1194207126
Provider Name (Legal Business Name): APRIL ANITA BRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2018
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7061 NORWAY RD
NEESES SC
29107-9021
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 803-813-1325
  • Fax: 803-263-4097
Mailing address:
  • Phone: 864-522-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number27741
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: