| Myrtle Beach Physical Medicine & Rehab, Llc | |
|
4736 17 Bypass South Myrtle Beach SC 29588 | |
| (843) 444-9355 | |
| (843) 294-0019 |
| Full Name | Myrtle Beach Physical Medicine & Rehab, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4736 17 Bypass South, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Mark Luckie (PRESIDENT) |
| Authorized Official Contact | 8434449355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtle Beach Physical Medicine & Rehab, Llc 4736 17 Bypass South Myrtle Beach SC 29588 Ph: (843) 444-9355 | Myrtle Beach Physical Medicine & Rehab, Llc 4736 17 Bypass South Myrtle Beach SC 29588 Ph: (843) 444-9355 |
| NPI Number | 1760806160 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760806160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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