AMY JEANETTE DIEVENDORF

COLUMBIA, SC
NPI1871802686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  4341SC)
Enumeration Date2010-09-28
Last Update Date2017-01-19
Business Address
Ms. AMY JEANETTE DIEVENDORF APRN
1655 BERNARDIN AVENUE SUITE - 350
COLUMBIA, SC 29204
Phone number: 803-253-7575
Mailing Address
Ms. AMY JEANETTE DIEVENDORF APRN
330 SEVEN SPRINGS WAY SUITE - 425
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7878
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