DEA FALLIN

SPARTANBURG, SC
NPI1487163143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  21315)
Enumeration Date2017-09-26
Last Update Date2020-12-29
Business Address
DEA FALLIN NP
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6617
Mailing Address
DEA FALLIN NP
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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