Individual
MRS. MEGAN ELVIS HASELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4301 DICK POND RD, MYRTLE BEACH, SC 29588-6807
(843) 652-8100
(843) 652-8122
Mailing address
580 MARY LOU AVE, MURRELLS INLET, SC 29576-6146
(843) 241-3829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.1931 TL
SC
Other
Enumeration date
05/20/2013
Last updated
02/17/2014
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