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MRS. TANDI W. FORTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 299-1600
(864) 422-2964
Mailing address
412 MIDDLESHARE DR, MAULDIN, SC 29662-3312
(864) 567-9086

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22821
SC

Other

Enumeration date
06/03/2019
Last updated
02/01/2024
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