| Sjan Corp | |
|
113 Ocean Sands Ct Myrtle Beach SC 29579-3590 | |
| (843) 231-9966 | |
| (866) 226-7650 |
| Full Name | Sjan Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 113 Ocean Sands Ct, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Solomon Jan (MD/OWNER) |
| Authorized Official Contact | 8002947001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjan Corp 113 Ocean Sands Ct Myrtle Beach SC 29579-3590 Ph: (843) 231-9966 | Sjan Corp 113 Ocean Sands Ct Myrtle Beach SC 29579-3590 Ph: (843) 231-9966 |
| NPI Number | 1104564947 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 6800270711 |
|---|---|
| Medicare Enrollment ID | O20220826000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104564947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Solomon A Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457538316 PECOS PAC ID: 0547344087 Enrollment ID: I20150428001984 |
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