Individual
VICKI GRIGG CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1201 48TH AVE N, MYRTLE BEACH, SC 29577-5452
(843) 450-4429
Mailing address
1201 48TH AVE N, MYRTLE BEACH, SC 29577-5452
(704) 300-5473
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23522
SC
Other
Enumeration date
10/04/2019
Last updated
12/01/2025
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