Individual
MISS NATALIE GARNER VANVOLKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
29 BOULWARE RD, LUGOFF, SC 29078-9415
(678) 906-1234
Mailing address
1634 BLACKGUM LN, RIDGEWAY, SC 29130-9600
(678) 906-1234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23073
SC
Other
Enumeration date
07/22/2019
Last updated
10/11/2020
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