Individual
MICHELLE ANN MENNECKE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
552 SOUTHERN PINES DR, MYRTLE BEACH, SC 29579-1238
(843) 796-9370
Mailing address
552 SOUTHERN PINES DR, MYRTLE BEACH, SC 29579-1238
(843) 796-9370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
545057
PA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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