| NPI | 1770315509 |
|---|---|
| Doing Business As | EMINENT MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | KWAJALEYN HERBRESHA MYERS Managing Member 803-291-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |