Individual
PENNY R STREBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 VINECREST CT # 500, GREENWOOD, SC 29646-8031
(864) 725-7900
(864) 725-7910
Mailing address
105 VINECREST CT # 500, GREENWOOD, SC 29646-8031
(864) 725-7900
(864) 725-7910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01941
NC
363A00000X
Physician Assistant
Primary
2068
SC
363A00000X
Physician Assistant
MA051606
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03331211
—
NY
05
—
1905PA
—
SC
Enumeration date
06/03/2006
Last updated
03/20/2017
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