Individual
MIRANDA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1204 E CHEVES ST, FLORENCE, SC 29506-2710
(843) 673-0122
Mailing address
700 SAINT GEORGE DR, FLORENCE, SC 29505-3638
(803) 900-0983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30011
SC
Other
Enumeration date
02/07/2019
Last updated
02/20/2025
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