Individual
MRS. MELISSA JO-ANN CUPID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3236 HOLMESTOWN RD UNIT E1, MYRTLE BEACH, SC 29588-7495
(843) 663-8000
(843) 663-8166
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8013
(843) 663-8166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200301427
NC
207Q00000X
Family Medicine Physician
Primary
2021652
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216527
—
SC
05
—
5902508
—
NC
Enumeration date
06/18/2007
Last updated
11/22/2024
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