Individual
MRS. TABETHA BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
675 N MORGAN AVE, ANDREWS, SC 29510-2417
(843) 264-2680
(843) 264-2690
Mailing address
675 N MORGAN AVE, ANDREWS, SC 29510-2417
(843) 264-2680
(843) 264-2690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19873
SC
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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