Individual
SENA SEATS SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1011 TIGER BLVD, CLEMSON, SC 29631-2915
(863) 722-9262
Mailing address
1011 TIGER BLVD, CLEMSON, SC 29631-2915
(863) 722-9262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.17502 RX
SC
Other
Enumeration date
09/21/2011
Last updated
11/11/2015
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