Individual
MARY KNIGHT FELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 PATEWOOD DR STE B480, GREENVILLE, SC 29615-6327
(864) 454-4570
(864) 454-4575
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2538
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2594PA
—
SC
Enumeration date
04/04/2016
Last updated
05/10/2023
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