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Individual

DR. YENNEY E MEZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 449-9559
Mailing address
1017 S MYRTLE DR, SURFSIDE BEACH, SC 29575-3234
(215) 300-4669

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30002
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300025
SC
Enumeration date
05/08/2007
Last updated
08/09/2011
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