Individual
MEGAN D PAGE HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2890
Mailing address
901 COTTON BOLL RD, MULLINS, SC 29574-6026
(843) 430-1975
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
103804
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
89901
SC
Other
Enumeration date
03/12/2012
Last updated
04/11/2013
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