Individual
MS. DONNELL RAMSEY MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 25TH AVE S STE 12, NORTH MYRTLE BEACH, SC 29582-4320
(843) 256-6721
(843) 900-2200
Mailing address
503 20TH AVE N UNIT 27D, NORTH MYRTLE BEACH, SC 29582-2383
(828) 403-5907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005001277
NC
363L00000X
Nurse Practitioner
Primary
25840
SC
363LF0000X
Family Nurse Practitioner
132174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19642
BC
NC
05
—
8919642
—
NC
Enumeration date
09/13/2006
Last updated
04/01/2025
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