Individual
MS. MAXINE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3304 FOREST DR, COLUMBIA, SC 29204-4024
(803) 787-3901
Mailing address
3304 FOREST DR, COLUMBIA, SC 29204-4024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18681
SC
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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