Individual
MARILYN ANJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHURCH ST STE A, CONWAY, SC 29526-4422
(843) 365-0295
(843) 365-0354
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30109
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN1397
—
SC
Enumeration date
04/18/2025
Last updated
01/02/2026
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