Griffith, Mary Jane

Griffith, Mary Jane is an individual health care provider with primary practice located at 920 Doug White Dr Ste 250 , Myrtle Beach SC 29572-4181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Griffith, Mary Jane can be contacted via phone (843) 236-1950.

Contact Information

Primary practice address
920 Doug White Dr Ste 250 Myrtle Beach SC 29572-4181
Fax: (843) 236-1952
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 17481 South Carolina

Profile Details

NPI number 1548596042
LBN Legal business name Griffith, Mary Jane
Credentials MSN, RN, GNP-BC, ACH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2009
Last updated Jan 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548596042 NPPES
South Carolina Other 1548596042 PENDING
South Carolina MEDICAID NP1872 PENDING

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