Most Relevant Information
Provider Data
| NPI Number: | 1003295262 |
| Provider Name: | VICTORIA FENTERS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 19467 |
Most Important Dates
| Enumeration Date: | 05/21/2015 |
| Last Updated: | 11/09/2018 |
Provider Practice Location
1316 N LAKE DR
LEXINGTON
SC
29072
Practice Location Phone/Fax
| Phone: | 8033581191 |
| Fax: |
Provider Mailing Location
PO BOX 743904
ATLANTA
GA
303743904
Provider Mailing Phone/Fax
| Phone: | 8032967320 |
| Fax: | 8032967330 |