Individual
MEGAN ELIZABETH FOCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1113 CHURCH ST, CONWAY, SC 29526
(843) 248-6269
(843) 248-0535
Mailing address
1113 CHURCH ST, CONWAY, SC 29526-4128
(843) 248-6269
(843) 248-0535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20496
SC
363LA2200X
Adult Health Nurse Practitioner
20496
SC
363LC0200X
Critical Care Medicine Nurse Practitioner
20496
SC
363LF0000X
Family Nurse Practitioner
20496
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4132
—
SC
Enumeration date
09/30/2016
Last updated
05/25/2018
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