Individual
MARY JANE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, GNP-BC, ACH
Contact information
Practice address
920 DOUG WHITE DR STE 250, MYRTLE BEACH, SC 29572-4181
(843) 236-1950
(843) 236-1952
Mailing address
920 DOUG WHITE DR STE 250, MYRTLE BEACH, SC 29572-4181
(843) 236-1950
(843) 236-1952
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
17481
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548596042
PENDING
SC
05
—
NP1872
—
SC
Enumeration date
10/19/2009
Last updated
01/13/2022
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