| Gerald L Duvall Jr, | |
|
210 28th Ave S Apt 8, Myrtle Beach, SC 29577-4841 | |
| (843) 940-0490 | |
| Not Available |
| Full Name | Gerald L Duvall Jr |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 210 28th Ave S Apt 8, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083491468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 13259 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald L Duvall Jr, 210 28th Ave S Apt 8, Myrtle Beach, SC 29577-4841 Ph: (843) 940-0490 | Gerald L Duvall Jr, 210 28th Ave S Apt 8, Myrtle Beach, SC 29577-4841 Ph: (843) 940-0490 |
Patrick Vincent Fischer, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4736 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-444-9355 Fax: 843-294-0019 |
Lois Edgar, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5861 Friendship Ln, Myrtle Beach, SC 29588 Phone: 843-241-5720 |
Jacqueline Noel Boyle, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 568 George Bishop Pkwy, Myrtle Beach, SC 29579 Phone: 843-455-2766 |
Jonathan Daniel Kiser, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2661 Temperance Dr, Myrtle Beach, SC 29577 Phone: 843-957-5357 |
Mrs. Brenda Ann Eley, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4736 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-444-9355 Fax: 843-294-0019 |
Tracy Thomas, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1117 Stoney Falls Blvd, Myrtle Beach, SC 29579 Phone: 843-331-8416 |
Ksenia Ford, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 9th Ave N Apt 5, Myrtle Beach, SC 29577 Phone: 843-360-6469 |