Individual
MS. NOMIGLY COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 N SUMTER ST STE 320, SUMTER, SC 29150-4975
(803) 774-6824
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117988
FL
363AM0700X
Medical Physician Assistant
3136
SC
363AM0700X
Medical Physician Assistant
MA052670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3928PA
—
SC
Enumeration date
03/26/2008
Last updated
12/15/2023
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