Individual
MISS MYRA LYNN FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
165 ASHLEY AVE, CHARLESTON, SC 29425
(843) 792-4320
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3581
SC
Other
Enumeration date
02/20/2008
Last updated
06/01/2018
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