Individual
CRYSTAL MENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 577-8960
Mailing address
3604 WATERWAY BLVD, ISLE OF PALMS, SC 29451-2552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
241914
NC
363LF0000X
Family Nurse Practitioner
Primary
19693
SC
Other
Enumeration date
09/11/2015
Last updated
03/17/2018
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