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Individual

ERIN BOOTH HERENDEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1107 W POINSETT ST, GREER, SC 29650-1318
(864) 879-8886
(864) 879-1204
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1470
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1476PA
SC
Enumeration date
11/11/2009
Last updated
06/30/2021
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