Individual
PROF. FREDANNA M'CORMACK MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHES, PHD
Contact information
Practice address
205 SANCROFT LN, MYRTLE BEACH, SC 29588-7589
(843) 349-2991
Mailing address
205 SANCROFT LN, MYRTLE BEACH, SC 29588-7589
(618) 203-1023
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
13905
IL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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