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1104587419
COURTNEY LYNN PORFILIO-STITT
MYRTLE BEACH, SC
NPI
1104587419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC MPA.4246)
Enumeration Date
2022-01-08
Last Update Date
2022-01-08
Business Address
COURTNEY LYNN PORFILIO-STITT PA-C
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1000
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Mailing Address
COURTNEY LYNN PORFILIO-STITT PA-C
1617 PALMETTO PALM DR
MYRTLE BEACH, SC 29579-7088
Phone number: 843-457-9151
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