Individual
JENNIFER LYNNE HANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
139 LILA DOYLE DR, SENECA, SC 29672-9495
(864) 482-3483
(864) 482-3497
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-1335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
916
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9161
—
SC
05
—
GP4697
—
SC
Enumeration date
04/19/2007
Last updated
09/18/2024
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