MRS. Prudence Melinda Olsen, PA-C
NPI #1619228145 in Surfside Beach, South Carolina
Provider Information
- NPI Number
- 1619228145
- Entity Type
- Individual
- Name
- MRS. Prudence Melinda Olsen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 24, 2012
- Last Updated
- Sep 24, 2012
Practice Location
- Address
- 1120 GLENNS BAY RD
- City
- Surfside Beach
- State
- South Carolina
- ZIP Code
- 29575-4757
- Phone
- (843) 215-5492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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