Doctor Name: | PATRICIA SIEFFERMAN |
NPI Number: | 1093709453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 27377 |
Business Practice Address: | 901 W Greenwood St Suite 5 Abbeville, SC - 296205717 |
Business Phone Number: | 8643669938 |
Business Fax Number: | 8643660818 |
Mailing Address: | 12192 Augusta Rd, 12192 Augusta Road LAVONIA |
State: | GA |
Postal Code: | 305531209 |
Phone Number: | 7063561072 |
Fax Number: | 7063561457 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 27377 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |