Individual
KENDRICK MAURICE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-7140
Mailing address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-7140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20062
SC
Other
Enumeration date
03/29/2016
Last updated
08/14/2019
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