Individual
MARANDA SHAYANNICE DENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 282-4100
Mailing address
812 CASTLEWOOD LN, DUNCAN, SC 29334-9820
(864) 205-3167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21586
SC
Other
Enumeration date
02/26/2018
Last updated
01/28/2021
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