Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mahnoor Mushtaq

Individual provider Physician Assistant · NPI 1073361465

MS. Mahnoor Mushtaq is a Physician Assistant in Florence, South Carolina. Qualified in 2024, 2 years ago. Practices with McLeod Regional Medical Center of the Pee Dee Inc, a 407-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

555 E Cheves St
Florence, SC 29506-2617
Phone: (843) 777-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073361465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice McLeod Regional Medical Center Of The Pee Dee Inc — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Florence