NPI 1316408883 · live from the CMS NPI Registry
Monique Dorcel Courtenay, MD, PhD
Student in an Organized Health Care Education/Training Program in West Columbia, SC. National Provider Identifier 1316408883, active.
NPI record
| NPI | 1316408883 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 2728 Sunset Blvd Ste 106, West Columbia, SC 29169 |
| Practice phone | 803-314-9760 |
| Mailing address | 6735 Mahi Ln Unit 4l, Myrtle Beach, SC 29572 |
| Enumerated | March 27, 2019 |
| Last updated | September 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 90067 (SC) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.