person
Myra A Gantt, RN
Adult Psychiatric/Mental Health Registered Nurse in Columbia, South Carolina
NPI 1750658449

Myra A Gantt is an Adult Psychiatric/Mental Health Registered Nurse based in Columbia, SC and is specialized in Psychiatric/Mental Health, Adult. Myra A Gantt practices in Columbia, SC and has the professional credentials of RN. The NPI Number for Myra A Gantt is 1750658449 and holds a License No. 74253 (South Carolina).

The current practice location address for Myra A Gantt is 1135 Carter St, Columbia, SC and can be reached out via phone at 803-786-1183 and via fax at 803-754-6051. You can also correspond with Myra A Gantt through the mailing address at 600 ANTIOCH PL, COLUMBIA, SC - 29209-5504 (mailing address contact number: 803-776-8544).

Location: 1135 Carter St, Columbia, SC, 29209-5504
person
Provider Profile Details
NPI Number
1750658449
Provider Name
Myra A Gantt
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1135 Carter St, Columbia, SC, 29209-5504
Phone Number
803-786-1183
Fax Number
803-754-6051
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1135 Carter St
City
State
Zip
29204-2811
Phone Number
803-786-1183
Fax Number
803-754-6051
person
Provider Business Mailing Address Details
Address
1135 Carter St
City
State
Zip
29204-2811
Phone Number
803-786-1183
Fax Number
803-754-6051
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
74253 (South Carolina)
Definition
Definition to come...
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