| Doctor Name: | LINDSEY STATES |
| NPI Number: | 1457668386 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 4394 |
| Business Practice Address: | 3816 Highway 17 S North Myrtle Beach, SC - 295825069 |
| Business Phone Number: | 8432721411 |
| Business Fax Number: | 8432722130 |
| Mailing Address: | Po Box 100523, FLORENCE |
| State: | SC |
| Postal Code: | 295020523 |
| Phone Number: | 8436695168 |
| Fax Number: | 8436674573 |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 01/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |