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Individual

DEBORAH A. FLANAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1120 GROVE RD, SUITE B, GREENVILLE, SC 29605-4656
(864) 455-8816
Mailing address
ONE INDEPENDENCE POINTE, SUITE 212, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6198

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3262
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
576007863029
BCBS
SC
05
NP1120
SC
Enumeration date
07/11/2007
Last updated
05/12/2011
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