| Myrtle Beach Internists, Llc | |
|
929 Medical Cir Myrtle Beach SC 29572-4116 | |
| (843) 839-2500 | |
| (843) 839-0018 |
| Full Name | Myrtle Beach Internists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 929 Medical Cir, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Victoria E Moshoures (OWNER) |
| Authorized Official Contact | 8438392500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtle Beach Internists, Llc 929 Medical Cir Myrtle Beach SC 29572-4116 Ph: (843) 839-2500 | Myrtle Beach Internists, Llc 929 Medical Cir Myrtle Beach SC 29572-4116 Ph: (843) 839-2500 |
| NPI Number | 1316131733 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Medicare PECOS PAC ID | 9335209329 |
|---|---|
| Medicare Enrollment ID | O20081120000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316131733 | NPI | - | NPPES |
| GP3365 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20432 (South Carolina) | Primary |
| Provider Name | Lamberto S Paragas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194727057 PECOS PAC ID: 1951461953 Enrollment ID: I20081120000618 |
| Provider Name | Victoria Elizabeth Moshoures |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306845755 PECOS PAC ID: 3779643770 Enrollment ID: I20100819000331 |
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