Organization
EMINENT MEDICAL SERVICES LLC
Active
Other names
Eminent Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KWAJALEYN HERBRESHA MYERS FNP-C (MANAGING MEMBER)
(803) 291-2795
Entity
Organization
Contact information
Practice address
9600 TWO NOTCH ROAD, SUITE 5 #508, COLUMBIA, SC 29223
(803) 291-2795
(803) 401-5282
Mailing address
9600 TWO NOTCH ROAD, SUITE 5 #508, COLUMBIA, SC 29223
(803) 291-2795
(803) 401-5282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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