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
Phone: (843) 236-1950
Fax: (843) 236-1952
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548596042 | NPPES |
South Carolina | Other | 1548596042 | PENDING |
South Carolina | MEDICAID | NP1872 | PENDING |
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