person
Mr. James Robert Mynatt, FNP
Family Nurse Practitioner in Fairfax, South Carolina
NPI 1588815021

James Robert Mynatt is a Family Nurse Practitioner based in Barnwell, SC and is specialized in Family. James Robert Mynatt practices in Fairfax, SC and has the professional credentials of FNP. The NPI Number for James Robert Mynatt is 1588815021 and holds a License No. F1512 (South Carolina).

The current practice location address for James Robert Mynatt is 333 Revolutionary Trail, Fairfax, SC and can be reached out via phone at 803-632-2533 and via fax at 803-632-2451.

Location: 333 Revolutionary Trail, Fairfax, SC, 29812
person
Provider Profile Details
NPI Number
1588815021
Provider Name
James Robert Mynatt
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
333 Revolutionary Trail, Fairfax, SC, 29812
Phone Number
803-632-2533
Fax Number
803-632-2451
Provider Enumeration Date
10/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1512 01 SC MEDICAL LICENSE
NP0589 05 SC
institution
Provider Business Practice Location Address Details
Address
333 Revolutionary Trail
City
State
Zip
29827
Phone Number
803-632-2533
Fax Number
803-632-2451
person
Provider Business Mailing Address Details
Address
333 Revolutionary Trail
City
State
Zip
29827
Phone Number
803-632-2533
Fax Number
803-632-2451
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F1512 (South Carolina)
Definition
Definition to come...
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