| Mcleod Neurology Seacoast | |
|
115 Mcleod Health Blvd. Suite 201 Myrtle Beach SC 29579-4477 | |
| (843) 646-8040 | |
| (843) 646-8049 |
| Full Name | Mcleod Neurology Seacoast |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 115 Mcleod Health Blvd., Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Samuel Fulton Ervin (SR VP & CFO) |
| Authorized Official Contact | 8437772913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Neurology Seacoast Po Box 601743 Charlotte NC 28260-1743 Ph: (843) 646-8040 | Mcleod Neurology Seacoast 115 Mcleod Health Blvd. Suite 201 Myrtle Beach SC 29579-4477 Ph: (843) 646-8040 |
| NPI Number | 1255198727 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255198727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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