Individual
MRS. MARY ALYSON NIJEM LERSTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
312 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680-7133
(864) 603-5600
(864) 603-5601
Mailing address
9 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
(864) 603-5600
(864) 603-5601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21011
SC
363L00000X
Nurse Practitioner
RN155655
GA
Other
Enumeration date
06/13/2012
Last updated
07/21/2022
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