Individual
MYO M NWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
744 ARDEN LN, #100, ROCK HILL, SC 29732-3286
(803) 325-2236
(803) 325-2234
Mailing address
744 ARDEN LN, #100, ROCK HILL, SC 29732-3286
(803) 325-2236
(803) 325-2234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23841
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4541
—
SC
Enumeration date
04/26/2006
Last updated
11/06/2023
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