person
Lisa Creswell Myrick, PA
Medical Physician Assistant in Irmo, South Carolina
NPI 1669956538

Lisa Creswell Myrick is a Medical Physician Assistant based in Irmo, SC and is specialized in Medical. Lisa Creswell Myrick practices in Irmo, SC and has the professional credentials of PA. The NPI Number for Lisa Creswell Myrick is 1669956538 and holds a License No. 8943 (South Carolina).

The current practice location address for Lisa Creswell Myrick is 7182 Woodrow St Ste 200, Irmo, SC and can be reached out via phone at 803-749-1111 and via fax at 803-749-0050. You can also correspond with Lisa Creswell Myrick through the mailing address at 7182 WOODROW ST STE 200, IRMO, SC - 29063-2832 (mailing address contact number: 803-749-1111).

Location: 7182 Woodrow St Ste 200, Irmo, SC, 29063-2832
person
Provider Profile Details
NPI Number
1669956538
Provider Name
Lisa Creswell Myrick
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7182 Woodrow St Ste 200, Irmo, SC, 29063-2832
Phone Number
803-749-1111
Fax Number
803-749-0050
Provider Enumeration Date
09/18/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MPA3202PA 01 SC SC PA LICENSE
institution
Provider Business Practice Location Address Details
Address
7182 Woodrow St Ste 200
City
State
Zip
29063-2832
Phone Number
803-749-1111
Fax Number
803-749-0050
person
Provider Business Mailing Address Details
Address
7182 Woodrow St Ste 200
City
State
Zip
29063-2832
Phone Number
803-749-1111
Fax Number
803-749-0050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
8943 (Georgia)
Definition
Definition to come...
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