MICHELLE L. WIRT, PA
Physician Assistant at 82 Pkwy, Myrtle Beach, SC

License number
South Carolina 25MP00248200
Category
Nursing
Type
Physician Assistant
License number
South Carolina TL2265
Category
Nursing
Type
Physician Assistant
Address
Address 2
823 82Nd Pkwy, Myrtle Beach, SC 29572
2234 Colonial Blvd Attn: Payer Contracting & Relations, Fort Myers, FL 33907
Phone
(843) 449-1010
(843) 497-6171 (Fax)
(239) 931-7342
(239) 931-7385 (Fax)
National Provider ID: 1366744989
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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