| Cmc Primary Care Grande Dunes | |
|
1100 62nd Ave N Ste A Myrtle Beach SC 29572-7202 | |
| (843) 839-0957 | |
| (843) 839-0758 |
| Full Name | Cmc Primary Care Grande Dunes |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 62nd Ave N, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Mary Ellen Artioli (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8432346946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc Primary Care Grande Dunes 300 Singleton Ridge Rd Attention Pns Credentialing Conway SC 29526-9142 Ph: (843) 234-6946 | Cmc Primary Care Grande Dunes 1100 62nd Ave N Ste A Myrtle Beach SC 29572-7202 Ph: (843) 839-0957 |
| NPI Number | 1427892728 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427892728 | NPI | - | NPPES |
| PG2250 | Medicaid | SC |
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