Individual
MELISSA LYNN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
Mailing address
131 AUGUSTA PLANTATION DR UNIT N, MYRTLE BEACH, SC 29579-6442
(845) 905-5914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
49670
SC
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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