| Waccamaw Community Care, Llc | |
|
4301 Dick Pond Rd Myrtle Beach SC 29588-6807 | |
| (843) 652-8100 | |
| (843) 652-8122 |
| Full Name | Waccamaw Community Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4301 Dick Pond Rd, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Brooke Cox Gaskins (DIRECTOR;GEORGETOWN PHYSICIAN SERVI) |
| Authorized Official Contact | 8435208441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waccamaw Community Care, Llc 4301 Dick Pond Rd Myrtle Beach SC 29588-6807 Ph: (843) 652-8100 | Waccamaw Community Care, Llc 4301 Dick Pond Rd Myrtle Beach SC 29588-6807 Ph: (843) 652-8100 |
| NPI Number | 1275861536 |
|---|---|
| Provider Enumeration Date | 11/25/2009 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275861536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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