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1295308005
JEREMY CHAD WENTZKY
GREER, SC
NPI
1295308005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 24599)
Enumeration Date
2021-07-20
Last Update Date
2021-09-14
Business Address
JEREMY CHAD WENTZKY FNP-BC
405 MEMORIAL DRIVE EXT
GREER, SC 29651-1817
Phone number: 864-877-9066
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Mailing Address
JEREMY CHAD WENTZKY FNP-BC
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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