IndividualActive
Alexandra Mycock, PA-C
NPI 1679288534 · Physician Assistant · Greenville, SC
Provider details
- NPI number
- 1679288534
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA4805 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
890 W Faris Rd Ste 100
Greenville, SC 29605-4285
Phone: (864) 455-2888
Fax: (864) 455-2885
Approximate (ZIP-level) locationGet directions
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.