Provider Demographics
NPI:1033403761
Name:FEE, DIANA S (PHARMD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:S
Last Name:FEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3991 OLD FURNACE RD
Mailing Address - Street 2:
Mailing Address - City:CHESNEE
Mailing Address - State:SC
Mailing Address - Zip Code:29323-8485
Mailing Address - Country:US
Mailing Address - Phone:864-266-8552
Mailing Address - Fax:
Practice Address - Street 1:2375 CHESNEE HWY
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-5506
Practice Address - Country:US
Practice Address - Phone:864-573-9408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-28
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist