Individual
BEVERLY GRIM TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2996 E HIGHWAY 501, CONWAY, SC 29526-9532
(866) 389-2727
Mailing address
1303 38TH AVE N., MYRTLE BEACH, SC 29577
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18465
SC
Other
Enumeration date
11/08/2013
Last updated
01/24/2019
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