| Beach Internal Medicine, Pc | |
|
929 Medical Cir Myrtle Beach SC 29572-4116 | |
| (843) 839-2500 | |
| Not Available |
| Full Name | Beach Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 929 Medical Cir, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Brian D Wright (OWNER) |
| Authorized Official Contact | 8438392500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Internal Medicine, Pc 929 Medical Cir Myrtle Beach SC 29572-4116 Ph: (843) 839-2500 | Beach Internal Medicine, Pc 929 Medical Cir Myrtle Beach SC 29572-4116 Ph: (843) 839-2500 |
| NPI Number | 1215121645 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 11/17/2009 |
| Medicare PECOS PAC ID | 0749304624 |
|---|---|
| Medicare Enrollment ID | O20100830000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215121645 | NPI | - | NPPES |
| GP3436 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0589 (South Carolina) | Primary |
| Provider Name | Brian David Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164421525 PECOS PAC ID: 1557485430 Enrollment ID: I20100830000263 |
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