Individual
MS. SUSAN JANE FENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
230 W WADE HAMPTON BLVD, GREER, SC 29650-1655
(864) 968-9144
(864) 968-9244
Mailing address
230 W WADE HAMPTON BLVD, GREER, SC 29650-1655
(864) 968-9144
(864) 968-9244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18795
SC
Other
Enumeration date
07/31/2014
Last updated
08/30/2019
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