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Individual

MEGAN CRANDALL LYBRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
115 N SUMTER ST STE 315, SUMTER, SC 29150-4967
(803) 774-9787
(803) 774-9781
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
21599
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
21599
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP5234
SC
Enumeration date
03/09/2018
Last updated
06/21/2023
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