Individual
CHANDLER CREECH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1076 MARLBORO WAY STE 3, BENNETTSVILLE, SC 29512-2495
(843) 479-0432
Mailing address
605 LAKESHORE DR, BENNETTSVILLE, SC 29512-2515
(843) 439-3575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29776
SC
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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