Individual
MRS. TINA RENELL GOETHIE-LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-BC
Contact information
Practice address
719 OKATIE HWY, OKATIE, SC 29909-3963
(843) 987-7400
(843) 986-0566
Mailing address
PO BOX 357, 721 N. OKATIE HWY, OKATIE, SC 29909, RIDGELAND, SC 29936-2605
(843) 987-7400
(843) 986-0566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.19824.RX
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.19824.RX
SC
Other
Enumeration date
10/22/2015
Last updated
01/26/2026
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