Individual
MICHELLE CHAVOUS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1735 SAINT JULIAN PL STE 102, COLUMBIA, SC 29204-2402
(803) 497-9611
(803) 764-2003
Mailing address
1735 SAINT JULIAN PL STE 102, COLUMBIA, SC 29204-2402
(803) 497-9611
(803) 764-2003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0231
—
SC
05
—
NP1704
—
SC
Enumeration date
07/07/2006
Last updated
09/01/2020
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