Individual
LAUREN BONVILLE KERFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
425 WATKINS DR, PENDLETON, SC 29670-1735
(910) 783-9905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245156
SC
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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