Individual
ASHLEY CANNON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Mailing address
100 SILVERSTONE RD, LEXINGTON, SC 29072-7642
(803) 513-0567
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21717
SC
Other
Enumeration date
02/26/2018
Last updated
01/16/2019
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