Individual
MEGAN ELIZABETH CLOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1189 TIBWIN RD, MC CLELLANVILLE, SC 29458-9405
(843) 887-3274
Mailing address
1189 TIBWIN RD, MC CLELLANVILLE, SC 29458-9405
(843) 887-3274
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
22824
SC
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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