Individual
LISA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 VILLAGE CENTER BLVD, MYRTLE BEACH, SC 29579-6618
(843) 449-5848
(843) 692-0908
Mailing address
170 VILLAGE CENTER BLVD, MYRTLE BEACH, SC 29579-6618
(843) 449-5848
(843) 692-0908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0147471
NY
363A00000X
Physician Assistant
Primary
5988
SC
Other
Enumeration date
07/08/2011
Last updated
03/28/2026
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