Individual
OPAL SHEPARD HIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CS-FNP
Contact information
Practice address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
(864) 233-1403
Mailing address
232 STONEHAVEN WAY, SENECA, SC 29672-9132
(864) 654-3934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
601
SC
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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