| Stephanie C Cobb, DO | |
| 
					4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537  | |
| (843) 903-4111 | |
| (843) 903-4242 | 
| Full Name | Stephanie C Cobb | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 4022 Postal Way Ste C, Myrtle Beach, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548729460 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 87785 (South Carolina) | Primary | 
| 208000000X | Pediatrics | 125.074820 (Illinois) | Secondary | 
| Entity Name | Conway Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stephanie C Cobb, DO 300 Singleton Ridge Rd, Attn Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946  | Stephanie C Cobb, DO 4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 Ph: (843) 903-4111  | 
Dr. Penelope Anne Campbell, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4022 Postal Way Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242  | |
Anna Marie Goodwin, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4320 Holmestown Rd, Myrtle Beach, SC 29588 Phone: 843-652-8440 Fax: 843-652-8441  | |
Stephen Replenski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Postal Way Ste C, Myrtle Beach, SC 29579 Phone: 843-903-4111 Fax: 843-903-4242  | |
Dr. Kristin Emily Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349  | |
Rebecca S Eglen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6010 Highway 707, Ste 300, Myrtle Beach, SC 29588 Phone: 843-293-1005 Fax: 843-293-1006  | |
Dr. Virginia Caroline Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1483 Fax: 843-286-1349  | |
Dr. Frank Nicholas Colvard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8120 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-1438 Fax: 843-286-1349  |