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Individual

MIKAILA MARION MCDEVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8 RICHLAND MEDICAL PARK DR STE 400, COLUMBIA, SC 29203-8004
(803) 765-0871
(803) 765-9215
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3609
SC

Other

Enumeration date
10/28/2019
Last updated
10/03/2024
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