| Southeast Medical Associates Llc | |
|
1301 48th Ave N Ste B Myrtle Beach SC 29577-5427 | |
| (843) 215-5102 | |
| (843) 215-5226 |
| Full Name | Southeast Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 48th Ave N Ste B, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Cindy L Haney (INS CLERK) |
| Authorized Official Contact | 8432155102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Medical Associates Llc 1301 48th Ave N Ste B Myrtle Beach SC 29577-5427 Ph: (843) 215-5102 | Southeast Medical Associates Llc 1301 48th Ave N Ste B Myrtle Beach SC 29577-5427 Ph: (843) 215-5102 |
| NPI Number | 1871798348 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042351579 |
|---|---|
| Medicare Enrollment ID | O20100106000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871798348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose G Armonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528004413 PECOS PAC ID: 9537200068 Enrollment ID: I20100107000100 |
| Provider Name | Rubina Wadud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922034123 PECOS PAC ID: 8325180235 Enrollment ID: I20100114000763 |
| Provider Name | Mohammad Emran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811932999 PECOS PAC ID: 6709927239 Enrollment ID: I20100910000297 |
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