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Alicia Pendergrass, FNP
Obstetrics & Gynecology Nurse Practitioner in Irmo, South Carolina
NPI 1063883767

Alicia Pendergrass is a Obstetrics & Gynecology Nurse Practitioner based in West Columbia, SC and is specialized in Obstetrics & Gynecology. Alicia Pendergrass practices in Irmo, SC and has the professional credentials of FNP. The NPI Number for Alicia Pendergrass is 1063883767 and holds a License No. 19686 (South Carolina).

The current practice location address for Alicia Pendergrass is 1 Wellness Blvd Ste 203, Irmo, SC and can be reached out via phone at 803-749-9920 and via fax at 803-749-9916. You can also correspond with Alicia Pendergrass through the mailing address at PO BOX 6069, WEST COLUMBIA, SC - 29171-6069 (mailing address contact number: 803-749-9920).

Location: 1 Wellness Blvd Ste 203, Irmo, SC, 29171-6069
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Provider Profile Details
NPI Number
1063883767
Provider Name
Alicia Pendergrass
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1 Wellness Blvd Ste 203, Irmo, SC, 29171-6069
Phone Number
803-749-9920
Fax Number
803-749-9916
Provider Enumeration Date
10/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP3611 05 SC
institution
Provider Business Practice Location Address Details
Address
1 Wellness Blvd Ste 203
City
State
Zip
29063-2873
Phone Number
803-749-9920
Fax Number
803-749-9916
person
Provider Business Mailing Address Details
Address
1 Wellness Blvd Ste 203
City
State
Zip
29063-2873
Phone Number
803-749-9920
Fax Number
803-749-9916
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
19686 (South Carolina)
Definition
Definition to come...
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