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 |