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2021 N Myrtle Point Blvd Ste 101 North Myrtle Beach SC 29582-2224 | |
| (843) 366-2900 | |
| (843) 366-2450 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kenneth D. Beasley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8437777010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3239 Florence SC 29502-3239 Ph: (843) 646-8923 | 2021 N Myrtle Point Blvd Ste 101 North Myrtle Beach SC 29582-2224 Ph: (843) 366-2900 |
| NPI Number | 1609460443 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609460443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Collaborative & Innovated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 2nd Ave N Ste 203a, North Myrtle Beach, SC 29582 Phone: 843-222-5395 Fax: 866-340-0296 | |
Coastal Carolinas Integrated Medicine Ii Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Main St, North Myrtle Beach, SC 29582 Phone: 843-663-0933 Fax: 843-663-0936 | |
North Myrtle Beach Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582 Phone: 843-663-2100 Fax: 843-663-2102 | |
Palms Health & Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 25th Ave S Ste 12&13, North Myrtle Beach, SC 29582 Phone: 843-256-6721 Fax: 843-900-2200 |