| Southern Comprehensive And Behavioral Health Associates Llc | |
|
3583 Highway 17 Murrells Inlet SC 29576-5002 | |
| (843) 357-4357 | |
| Not Available |
| Full Name | Southern Comprehensive And Behavioral Health Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3583 Highway 17, Murrells Inlet, South Carolina |
| Authorized Official Name and Position | Arvin M Ward (OWNER) |
| Authorized Official Contact | 9128563249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Comprehensive And Behavioral Health Associates Llc 3583 Highway 17 Bypass Murrells Inlet SC 29576-5002 Ph: (843) 357-4357 | Southern Comprehensive And Behavioral Health Associates Llc 3583 Highway 17 Murrells Inlet SC 29576-5002 Ph: (843) 357-4357 |
| NPI Number | 1730602285 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5890052526 |
|---|---|
| Medicare Enrollment ID | O20171205000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730602285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Boris Shklyar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144253857 PECOS PAC ID: 1759394364 Enrollment ID: I20060727000358 |
| Provider Name | Yenney E Meza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225241854 PECOS PAC ID: 9133220254 Enrollment ID: I20070719000468 |
| Provider Name | Robert Lewis Pugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407814791 PECOS PAC ID: 7719025964 Enrollment ID: I20100925000030 |
| Provider Name | Allyson Rae Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588903397 PECOS PAC ID: 3375771587 Enrollment ID: I20140115001671 |
| Provider Name | Erik Lawrence Herte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044877 PECOS PAC ID: 2264734987 Enrollment ID: I20160112000998 |
| Provider Name | Naomi Jean Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217653 PECOS PAC ID: 1456635028 Enrollment ID: I20170227000575 |
| Provider Name | Heidi Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184124091 PECOS PAC ID: 4385989979 Enrollment ID: I20190102000190 |
| Provider Name | Johanna Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053729616 PECOS PAC ID: 5799003836 Enrollment ID: I20190904003185 |
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