Individual
MEGAN OLIVER SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
743 FOLLY RD, CHARLESTON, SC 29412-3432
(843) 762-2360
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1964
SC
363AM0700X
Medical Physician Assistant
1964
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1804PA
—
SC
Enumeration date
09/23/2013
Last updated
11/15/2024
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