Organization
ALENA MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARANDA SHAYANNICE DENDY (FAMILY NURSE PRACTITIONER)
(864) 205-3167
Entity
Organization
Contact information
Practice address
812 CASTLEWOOD LN, DUNCAN, SC 29334-9820
(864) 205-3167
Mailing address
812 CASTLEWOOD LN, DUNCAN, SC 29334-9820
(864) 205-3167
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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