ALICIA PENDERGRASS

IRMO, SC
NPI1063883767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: SC  19686)
Enumeration Date2015-10-07
Last Update Date2022-12-20
Business Address
ALICIA PENDERGRASS FNP
1 WELLNESS BLVD STE 203
IRMO, SC 29063-2873
Phone number: 803-749-9920
Mailing Address
ALICIA PENDERGRASS FNP
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-749-9920
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