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Contact Information

LISA M SCRUGGS, CRNA
809 82ND PKWY
MYRTLE BEACH
MYRTLE BEACH, SC29572
 Phone: 843-692-1750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for LISA M SCRUGGS · (Female)

NPI Number 1396728242
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/23/2005
Last updated 09/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 063793
  • NC Medicaid 8050734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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