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NPI Code Detail

MEDICARE: KENYA SHETERE FERNANDERS-BRIGGS PA-C

MEDICARE: KENYA SHETERE FERNANDERS-BRIGGS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1182SC
2363A00000XPhysician Assistant1182SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427109610
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENYA SHETERE FERNANDERS-BRIGGS PA-C
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 890 W FARIS RD STE 100
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4285
Country : US
Telephone Number : 864-455-2888
Fax Number : 864-455-2885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 06/06/2023

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Directions to “ KENYA SHETERE FERNANDERS-BRIGGS PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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