Individual
MIKAYLA SHANTA DUNLAP PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
313 MAIN ST STE A, GREENWOOD, SC 29646-2757
(864) 229-4446
Mailing address
313 MAIN ST STE A, GREENWOOD, SC 29646-2757
(864) 229-4446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28846
SC
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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