Individual
MISS JANELLE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
210 VILLAGE CENTER BLVD, SUITE 200, MYRTLE BEACH, SC 29579-6706
(843) 236-3222
(843) 236-3005
Mailing address
210 VILLAGE CENTER BLVD, SUITE 200, MYRTLE BEACH, SC 29579-6706
(843) 236-3222
(843) 236-3005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2205
SC
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2205
MEDICAL LICENSE
SC
Enumeration date
09/05/2014
Last updated
09/17/2024
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