Individual
MRS. RACHAEL E FEDAROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
684 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 372-3003
Mailing address
101 REEDY VIEW DR APT 308, GREENVILLE, SC 29601-1858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23181
SC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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