MEDICARE: MEGAN CHRISTIAN CUNDIFF PA-C

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
1	363A00000X	Physician Assistant	3481	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3481	OTHER	SC	SC LICENSE

General Provider Information

NPI Number	:	1679128276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CHRISTIAN CUNDIFF PA-C

Provider Business Mailing Address
First Line	:	PO BOX 421718
Second Line	:
City	:	GEORGETOWN
State	:	SC
Zip	:	29442-4203
Country	:	US
Telephone Number	:	843-527-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 HOSPITAL DR
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3255
Country	:	US
Telephone Number	:	843-884-1341
Fax Number	:	843-884-1345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2019
Last Update Date	:	04/06/2026

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Directions to “ MEGAN CHRISTIAN CUNDIFF PA-C” Practice Location

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