AUSTRALIA VAN DYKE GREENE

MANNING, SC
NPI1346600780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  20008)
Enumeration Date2016-02-27
Last Update Date2017-01-20
Business Address
-- AUSTRALIA VAN DYKE GREENE NP-C
10 E HOSPITAL ST
MANNING, SC 29102-3153
Phone number: 803-435-8463
Mailing Address
-- AUSTRALIA VAN DYKE GREENE NP-C
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 843-777-5098
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