Individual
MEREDITH ELLENBURG GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(843) 792-1414
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231426
NC
363L00000X
Nurse Practitioner
Primary
26311
SC
363LF0000X
Family Nurse Practitioner
5010474
NC
363LS0200X
School Nurse Practitioner
5010474
NC
Other
Enumeration date
04/17/2018
Last updated
08/09/2022
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