Provider Demographics
NPI:1578504502
Name:MCCLURE, CYNTHIA MCALHANY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MCALHANY
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 REEVESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:REEVESVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29471
Mailing Address - Country:US
Mailing Address - Phone:843-563-5510
Mailing Address - Fax:
Practice Address - Street 1:109 DUKES ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:SC
Practice Address - Zip Code:29477
Practice Address - Country:US
Practice Address - Phone:843-563-2484
Practice Address - Fax:843-563-7222
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC1423363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner