Individual
MYRA D PINCKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
990 LAKE HUNTER CIR, STE 1A, MT PLEASANT, SC 29464-5426
(843) 852-4100
Mailing address
990 LAKE HUNTER CIR STE 202, MT PLEASANT, SC 29464-5426
(843) 881-4117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20707
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760569480
—
SC
Enumeration date
09/26/2008
Last updated
11/19/2019
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