Individual
MRS. MERDITH LEIGH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
698 HOWARD ST, SPARTANBURG, SC 29303-2964
(864) 594-4476
Mailing address
PO BOX 970, SPARTANBURG, SC 29304-0970
(864) 594-4476
(864) 594-6152
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
106748
SC
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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