Individual
ELMIRA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-6111
(615) 525-1777
Mailing address
3411 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-6111
(615) 525-1777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18698
SC
Other
Enumeration date
02/26/2014
Last updated
03/05/2021
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