Individual
COURTNEY LYNN PORFILIO-STITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
1617 PALMETTO PALM DR, MYRTLE BEACH, SC 29579-7088
(843) 457-9151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.4246
SC
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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