| Advantage Health Center, Llc | |
|
4301 Highway 544 Myrtle Beach SC 29588-6807 | |
| (843) 215-5000 | |
| (843) 215-5005 |
| Full Name | Advantage Health Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4301 Highway 544, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Donald W Tice (MANAGING PHYSICIAN) |
| Authorized Official Contact | 8432155000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Health Center, Llc 4301 Highway 544 Myrtle Beach SC 29588-6807 Ph: (843) 215-5000 | Advantage Health Center, Llc 4301 Highway 544 Myrtle Beach SC 29588-6807 Ph: (843) 215-5000 |
| NPI Number | 1598742041 |
|---|---|
| Provider Enumeration Date | 12/27/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598742041 | NPI | - | NPPES |
| P00057006 | Other | SC | R/R MEDICARE PROVIDER ID |
| CI2223 | Other | R/R MEDICARE GROUP ID | |
| GP1373 | Medicaid | SC | |
| P74639 | Other | SC | CAROLINA CARE PLAN |
| P00134805 | Other | SC | R/R MEDICARE PROVIDER ID |
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