| 501 Family Medical Center Llc | |
|
1752 Highway 501 Myrtle Beach SC 29577-9750 | |
| (843) 448-3050 | |
| (843) 448-5934 |
| Full Name | 501 Family Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1752 Highway 501, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Ewa B. Marcinkowska (PHYSICIAN OWNER) |
| Authorized Official Contact | 8434483050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 501 Family Medical Center Llc 1752 Highway 501 Myrtle Beach SC 29577-9750 Ph: (843) 448-3050 | 501 Family Medical Center Llc 1752 Highway 501 Myrtle Beach SC 29577-9750 Ph: (843) 448-3050 |
| NPI Number | 1508846593 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508846593 | NPI | - | NPPES |
| LL3787 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24043 (South Carolina) | Primary |
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