Individual
SIERRA DAWN VANDERKELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 HALTON RD, GREENVILLE, SC 29607-3509
(864) 454-2700
(864) 288-5082
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.160037
IL
207Q00000X
Family Medicine Physician
125075043
IL
207Q00000X
Family Medicine Physician
Primary
90637
SC
Other
Enumeration date
04/01/2019
Last updated
08/22/2023
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