Provider Demographics
NPI:1841335486
Name:ECKARD, JOYCE ANN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ANN
Last Name:ECKARD
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 TUCKERS RD
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-5211
Mailing Address - Country:US
Mailing Address - Phone:843-237-1975
Mailing Address - Fax:843-237-1975
Practice Address - Street 1:621 TUCKERS RD
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-6320
Practice Address - Country:US
Practice Address - Phone:843-237-1975
Practice Address - Fax:843-237-1975
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5057174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist