Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 26653 | SC |
N | 111NI0900X | Internist | 26653 | SC |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 26653 | SC |
NPI | 1063498335 |
---|---|
Provider Name | Dr. Jocelyn A Myers |
First Address | North Myrtle Beach, SC 29582-0439 |
Second Address | Myrtle Beach, SC 29572-4612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 16/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
266535 | (05) | SC |
H09724 | (02) | SC |
P00956509 | RR MEDICARE (01) | SC |