MEDICARE: COURTNEY GUINYARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	29930	SC
2	163W00000X	Registered Nurse	221319	SC

General Provider Information

NPI Number	:	1942629415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY GUINYARD

Provider Business Mailing Address
First Line	:	790 US HIGHWAY 321 BYP S
Second Line	:
City	:	WINNSBORO
State	:	SC
Zip	:	29180-7181
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CARRIAGE LN
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-6060
Country	:	US
Telephone Number	:	843-604-4577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	06/14/2026

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Directions to “ COURTNEY GUINYARD ” Practice Location

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