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PATRICIA SIEFFERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
901 W GREENWOOD ST, SUITE 5, ABBEVILLE, SC 29620-5717
(864) 366-9938
(864) 366-0818
Mailing address
12192 AUGUSTA RD, 12192 AUGUSTA ROAD, LAVONIA, GA 30553-1209
(706) 356-1072
(706) 356-1457

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17559
SC
363LF0000X
Family Nurse Practitioner
27377
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000733048IJK
GA
Enumeration date
08/31/2005
Last updated
11/30/2011
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