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Individual

LESLIE FAHY MCLAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
945 82ND PKWY, MYRTLE BEACH, SC 29572
(843) 497-5929
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8013
(843) 663-8166

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21995
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21995
SC LICENSE
SC
Enumeration date
07/03/2018
Last updated
06/16/2021
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