Individual
CONNOR MICHAEL JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004566A
IN
363A00000X
Physician Assistant
Primary
6030
SC
Other
Enumeration date
10/17/2024
Last updated
11/14/2025
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