| M Alexander Staton Md Pa | |
|
1601 N Oak St Suite 206 Myrtle Offices Myrtle Beach SC 29577-3579 | |
| (843) 448-2824 | |
| Not Available |
| Full Name | M Alexander Staton Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1601 N Oak St, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Sandra Staton (OFFICE MANAGER) |
| Authorized Official Contact | 8434482824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Alexander Staton Md Pa 1601 N Oak St Suite 206 Myrtle Offices Myrtle Beach SC 29577-3579 Ph: (843) 448-2824 | M Alexander Staton Md Pa 1601 N Oak St Suite 206 Myrtle Offices Myrtle Beach SC 29577-3579 Ph: (843) 448-2824 |
| NPI Number | 1417070640 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 05/22/2008 |
| Medicare PECOS PAC ID | 3779743034 |
|---|---|
| Medicare Enrollment ID | O20120322000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417070640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Marshall A Staton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780635292 PECOS PAC ID: 8325208689 Enrollment ID: I20120322000638 |
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