NPI 1619336930

Joanna Mannon, ATCSCAT

Practitioner Other Technician Myrtle Beach, SC

Practice location

Address: 3302 Robert M Grissom Pkwy, Myrtle Beach, SC 29577-6401
Phone: (843) 488-7149
Mailing address: 501 Hay Hill Ln Unit a, Myrtle Beach, SC 29579-4292

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 1817 (SC)

Other Technician, Other providers in South Carolina →

Registry record

NPI: 1619336930
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

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.