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NPI Code Detail

MEDICARE: MICHELLE CHAVOUS MYERS APRN

MEDICARE:   MICHELLE CHAVOUS MYERS  APRN
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 Practitioner715SC

Other Identifiers

General Provider Information

NPI Number : 1669404950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CHAVOUS MYERS APRN
Provider Business Mailing Address
First Line : 1735 SAINT JULIAN PL STE 102
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2402
Country : US
Telephone Number : 803-497-9611
Fax Number : 803-764-2003
Provider Business Practice Location Address
First Line : 1735 SAINT JULIAN PL STE 102
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2402
Country : US
Telephone Number : 803-497-9611
Fax Number : 803-764-2003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 09/01/2020

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Directions to “ MICHELLE CHAVOUS MYERS APRN” Practice Location

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