NPI 1619228145

Prudence Melinda Olsen, PAC

Practitioner Medical Physician Assistant Surfside Beach, SC

Practice location

Address: 1120 Glenns Bay Rd, Surfside Beach, SC 29575-4757
Phone: (843) 215-5492
Fax: (843) 215-5512
Mailing address: 1552 Heathmuir Dr, Myrtle Beach, SC 29575-5370

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 271 (SC)

Other Physician Assistant providers in South Carolina →

Registry record

NPI: 1619228145
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2012
Record last updated: 24 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.