| Angelic Health Practice Group | |
|
923c Medical Cir Myrtle Beach SC 29572-4116 | |
| (843) 356-9078 | |
| (843) 356-4086 |
| Full Name | Angelic Health Practice Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 923c Medical Cir, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Dan Mikus (CEO) |
| Authorized Official Contact | 6098227979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelic Health Practice Group 8025 Black Horse Pike Ste 501 Pleasantville NJ 08232-2967 Ph: (856) 812-8089 | Angelic Health Practice Group 923c Medical Cir Myrtle Beach SC 29572-4116 Ph: (843) 356-9078 |
| NPI Number | 1689362832 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689362832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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