Healthcare Provider Details

I. General information

NPI: 1639896830
Provider Name (Legal Business Name): MARGARET CAMERON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET RAINEY CAMERON FNP-C

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 CYPRESS CIR STE 300
CONWAY SC
29526-8995
US

IV. Provider business mailing address

210 VILLAGE CENTER BLVD STE 140
MYRTLE BEACH SC
29579-6706
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26791
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: