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Individual

MRS. ELAINE ZACHARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,BSN

Contact information

Practice address
800 21ST AVE N, MYRTLE BEACH, SC 29577-7424
(843) 448-8407
Mailing address
2688 FORESTBROOK RD, MYRTLE BEACH, SC 29588-7956
(843) 236-0185

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
39435
SC

Other

Enumeration date
04/25/2014
Last updated
04/25/2014
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