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Individual

MRS. MARY BETH M HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7758
(864) 885-7749
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-4411

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
APN950
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
950
SC
363LF0000X
Family Nurse Practitioner
950
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0058
SC
Enumeration date
05/23/2006
Last updated
04/20/2026
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