MYRA A GANTT

COLUMBIA, SC
NPI1750658449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: SC  74253)
Enumeration Date2011-11-22
Last Update Date2011-11-22
Business Address
-- MYRA A GANTT RN
1135 CARTER ST
COLUMBIA, SC 29204-2811
Phone number: 803-786-1183
Mailing Address
-- MYRA A GANTT RN
600 ANTIOCH PL
COLUMBIA, SC 29209-5504
Phone number: 803-776-8544
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