Individual
FREDDA ANNETTE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 STORK WAY, SENECA, SC 29678-1039
(864) 800-0100
(864) 800-0101
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
20638
SC
363LG0600X
Gerontology Nurse Practitioner
AG1116016
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4386
—
SC
Enumeration date
01/26/2017
Last updated
01/30/2024
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