LISA CRESWELL MYRICK

IRMO, SC
NPI1669956538
Former NameLISA DIANE CRESWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  8943)
Enumeration Date2018-09-18
Last Update Date2024-02-26
Business Address
LISA CRESWELL MYRICK PA
7182 WOODROW ST STE 200
IRMO, SC 29063-2832
Phone number: 803-749-1111
Mailing Address
LISA CRESWELL MYRICK PA
7182 WOODROW ST STE 200
IRMO, SC 29063-2832
Phone number: 803-749-1111
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