MISTY DANELLE POLSTON WHIPKEY

MYRTLE BEACH, SC
NPI1124556584
Former NameMISTY DANELLE POLSTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SC  21023)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: SC  21023)
Enumeration Date2017-05-30
Last Update Date2024-03-26
Business Address
MISTY DANELLE POLSTON WHIPKEY NP
917 MEDICAL CIR
MYRTLE BEACH, SC 29572-4116
Phone number: 843-449-0453
Mailing Address
MISTY DANELLE POLSTON WHIPKEY NP
917 MEDICAL CIR
MYRTLE BEACH, SC 29572-4116
Phone number: 843-449-0453