| North Myrtle Beach Internal Medicine | |
|
2021 N Myrtle Point Blvd Suite 101 North Myrtle Beach SC 29582-2224 | |
| (843) 663-2100 | |
| (843) 663-2102 |
| Full Name | North Myrtle Beach Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2021 N Myrtle Point Blvd, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Christine Stuehmer (OFFICE MANAGER) |
| Authorized Official Contact | 8436632100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Myrtle Beach Internal Medicine Po Box 900 North Myrtle Beach SC 29597-0900 Ph: (843) 663-2100 | North Myrtle Beach Internal Medicine 2021 N Myrtle Point Blvd Suite 101 North Myrtle Beach SC 29582-2224 Ph: (843) 663-2100 |
| NPI Number | 1326073370 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355438698 |
|---|---|
| Medicare Enrollment ID | O20071102000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326073370 | NPI | - | NPPES |
| GP3688 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16884 (South Carolina) | Primary |
| Provider Name | Cara S Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215950951 PECOS PAC ID: 6507904414 Enrollment ID: I20091113000392 |
| Provider Name | Elma Denise Whidby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841256914 PECOS PAC ID: 8426145764 Enrollment ID: I20120124000209 |
| Provider Name | Jennifer L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760852313 PECOS PAC ID: 0840595757 Enrollment ID: I20160301001374 |
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