Individual
SARAH E TENNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4120 CLEMSON BLVD STE B, ANDERSON, SC 29621-1176
(864) 226-0124
Mailing address
4120 CLEMSON BLVD STE B, ANDERSON, SC 29621-1176
(864) 226-0124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4378
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255884789
—
SC
Enumeration date
12/11/2018
Last updated
06/11/2019
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