Capeside Addiction Care, Pllc | |
4889 Highway 17 Byp S Myrtle Beach SC 29577-6683 | |
(843) 584-7011 | |
(843) 945-1355 |
Full Name | Capeside Addiction Care, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 4889 Highway 17 Byp S, Myrtle Beach, South Carolina |
Authorized Official Name and Position | William Beasley (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 9107916767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Capeside Addiction Care, Pllc 311 4 E Judges Road Wilmington NC 28405 Ph: (910) 791-6767 | Capeside Addiction Care, Pllc 4889 Highway 17 Byp S Myrtle Beach SC 29577-6683 Ph: (843) 584-7011 |
NPI Number | 1093280620 |
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Provider Enumeration Date | 10/10/2018 |
Last Update Date | 10/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093280620 | NPI | - | NPPES |
1255323622 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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