Provider Demographics
NPI:1609419449
Name:SAUNDERS, SELMA (NP)
Entity Type:Individual
Prefix:
First Name:SELMA
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SELMA
Other - Middle Name:
Other - Last Name:HADZIAHMETOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 E BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3510
Mailing Address - Country:US
Mailing Address - Phone:803-348-8777
Mailing Address - Fax:
Practice Address - Street 1:8063 EDMUND HWY
Practice Address - Street 2:
Practice Address - City:PELION
Practice Address - State:SC
Practice Address - Zip Code:29123-9805
Practice Address - Country:US
Practice Address - Phone:803-894-3736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23344363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily