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MISTY DANELLE POLSTON WHIPKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
Mailing address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21023
SC
363LF0000X
Family Nurse Practitioner
21023
SC

Other

Enumeration date
05/30/2017
Last updated
03/26/2024
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