Individual
JESSICA ROSE HALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
931 MEDICAL CIR STE A, MYRTLE BEACH, SC 29572-4122
(843) 945-8117
Mailing address
355 CASTLE DR, MYRTLE BEACH, SC 29579-6000
(508) 221-3624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
5774
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2024
Last updated
03/10/2025
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