| Myrtle Beach Endocrinology | |
|
1039 44th Avenue North Suite 204 Myrtle Beach SC 29577 | |
| (843) 839-3950 | |
| (843) 839-3955 |
| Full Name | Myrtle Beach Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1039 44th Avenue North, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Paul David Bunn (PHYSICIAN OWNER) |
| Authorized Official Contact | 8432671535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtle Beach Endocrinology Po Box 100523 Florence SC 29501 Ph: (843) 669-5162 | Myrtle Beach Endocrinology 1039 44th Avenue North Suite 204 Myrtle Beach SC 29577 Ph: (843) 839-3950 |
| NPI Number | 1083872030 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083872030 | NPI | - | NPPES |
| 119838 | Medicaid | SC | |
| 89064V0 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD11983 (South Carolina) | Primary |
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