Healthcare Provider Details

I. General information

NPI: 1538640016
Provider Name (Legal Business Name): MARGARET ANN DENEAU-SAXTON RN CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGI DENEAU-SAXTON RN CLC

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 GEORGIA AVE
NORTH AUGUSTA SC
29841-3700
US

IV. Provider business mailing address

3012 SPARTAN DR
NORTH AUGUSTA SC
29841-8220
US

V. Phone/Fax

Practice location:
  • Phone: 803-640-6191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number87736
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: