Individual
HANNAH GRACE SURFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FRANCIS CT, MYRTLE BEACH, SC 29577-1987
(843) 489-0339
Mailing address
1801 FRANCIS CT, MYRTLE BEACH, SC 29577-1987
(843) 489-0339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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