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Individual

MRS. MARY JANE MCMANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP, FNP

Contact information

Practice address
2111 HIGHWAY 17 S STE 3, NORTH MYRTLE BEACH, SC 29582-4391
(843) 491-3344
(843) 491-3399
Mailing address
630 CHESTNUT RD, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
(843) 945-1489

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21348
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21348
SC

Other

Enumeration date
03/16/2017
Last updated
12/02/2021
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