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NPI Code Detail

MEDICARE: EMILY WHITEHURST FNP

MEDICARE: EMILY WHITEHURST FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner20860SC

General Provider Information

NPI Number : 1184165714
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY WHITEHURST FNP
Provider Business Mailing Address
First Line : 107 MCLEOD HEALTH BLVD STE 202
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-4477
Country : US
Telephone Number : 843-839-1201
Fax Number : 843-839-1202
Provider Business Practice Location Address
First Line : 107 MCLEOD HEALTH BLVD STE 202
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-4477
Country : US
Telephone Number : 843-839-1201
Fax Number : 843-839-1202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2017
Last Update Date : 06/24/2021

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