Individual
MS. MARSHA GAY DELAVAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
6180 HIGHWAY 162, HOLLYWOOD, SC 29449-5767
(843) 889-8018
(843) 889-9133
Mailing address
6060 HIGHWAY 165, RAVENEL, SC 29470-5407
(843) 889-8982
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MPA319
SC
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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