| Advanced Medical Solution 1 Llc | |
|
4016 River Oaks Drive, Myrtle Beach, SC 29579-8487 | |
| (843) 742-7922 | |
| (843) 796-1492 |
| Full Name | Advanced Medical Solution 1 Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4016 River Oaks Drive, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174188502 | NPI | - | NPPES |
| Provider Name | Jon Clark Holt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083751622 PECOS PAC ID: 1850450453 Enrollment ID: I20081112000188 |
| Provider Name | Jack D Scott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487878195 PECOS PAC ID: 1951456078 Enrollment ID: I20090826000013 |
| Provider Name | Kimberly Cecchini Purgavie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093774028 PECOS PAC ID: 9335100197 Enrollment ID: I20100722000215 |
| Provider Name | Melissa A Costantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386278422 PECOS PAC ID: 5890125181 Enrollment ID: I20200429002030 |
| Provider Name | Jeremy Lynn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568942696 PECOS PAC ID: 5597007799 Enrollment ID: I20200519000616 |
| Provider Name | Holly Behr Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306459417 PECOS PAC ID: 2567872419 Enrollment ID: I20201103002999 |
| Provider Name | Gene S Harrison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366500019 PECOS PAC ID: 0840450573 Enrollment ID: I20210120002434 |
| Provider Name | Tomasz Szewczyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740580661 PECOS PAC ID: 2062608854 Enrollment ID: I20211118001437 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Solution 1 Llc 4016 River Oaks Drive, Myrtle Beach, SC 29579-8487 Ph: (843) 742-7922 | Advanced Medical Solution 1 Llc 4016 River Oaks Drive, Myrtle Beach, SC 29579-8487 Ph: (843) 742-7922 |