person
Peggy Yvonne Lively, ARNP
Family Nurse Practitioner in Surfside Beach, South Carolina
NPI 1033239678

Peggy Yvonne Lively is a Family Nurse Practitioner based in Surfside Beach, SC and is specialized in Family. Peggy Yvonne Lively practices in Surfside Beach, SC and has the professional credentials of ARNP. The NPI Number for Peggy Yvonne Lively is 1033239678 and holds a License No. 3938 (South Carolina).

The current practice location address for Peggy Yvonne Lively is 1120 Glenns Bay Rd, Surfside Beach, SC and can be reached out via phone at 843-215-5492.

Location: 1120 Glenns Bay Rd, Surfside Beach, SC, 29575-4630
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Provider Profile Details
NPI Number
1033239678
Provider Name
Peggy Yvonne Lively
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1120 Glenns Bay Rd, Surfside Beach, SC, 29575-4630
Phone Number
843-215-5492
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1563 05 SC
institution
Provider Business Practice Location Address Details
Address
1120 Glenns Bay Rd
City
State
Zip
29575-4757
Phone Number
843-215-5492
Fax Number
person
Provider Business Mailing Address Details
Address
1120 Glenns Bay Rd
City
State
Zip
29575-4757
Phone Number
843-215-5492
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3938 (South Carolina)
Definition
Definition to come...
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