| |
4111 Murrells Inlet Rd, Murrells Inlet, SC 29576-6208 | |
(843) 652-5678 | |
(843) 652-5679 |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner |
Location | 4111 Murrells Inlet Rd, Murrells Inlet, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730639055 | NPI | - | NPPES |
7591840001 | Other | SC | MEDICARE DME |
G447 | Other | SC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Craig S Cohen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659406759 PECOS PAC ID: 2961501903 Enrollment ID: I20080611000511 |
Provider Name | Jon Clark Holt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083751622 PECOS PAC ID: 1850450453 Enrollment ID: I20081112000188 |
Provider Name | Craig S Cohen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659406759 PECOS PAC ID: 2961501903 Enrollment ID: I20170109000105 |
Mailing Address | Practice Location Address |
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Po Box 1284, Murrells Inlet, SC 29576-1284 Ph: (843) 652-5678 | 4111 Murrells Inlet Rd, Murrells Inlet, SC 29576-6208 Ph: (843) 652-5678 |