Healthcare Provider Details

I. General information

NPI: 1245056506
Provider Name (Legal Business Name): NATALIE M FLOWERS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 CYPRESS CIR STE 300
CONWAY SC
29526-8995
US

IV. Provider business mailing address

101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH SC
29579-4477
US

V. Phone/Fax

Practice location:
  • Phone: 843-353-3460
  • Fax: 843-353-3461
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5720
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: