Individual
JONESSA ANN VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2021 N MYRTLE POINT BLVD STE 101, NORTH MYRTLE BEACH, SC 29582-2224
(843) 366-2900
Mailing address
2021 N MYRTLE POINT BLVD STE 101, NORTH MYRTLE BEACH, SC 29582-2224
(843) 366-2900
(843) 366-2450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020-03573
NC
207R00000X
Internal Medicine Physician
Primary
36508
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365081
—
SC
Enumeration date
08/05/2011
Last updated
07/23/2025
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