| Skerdilaid Licaj, PA | |
|
1714 Highway 17 S, North Myrtle Beach, SC 29582-4041 | |
| (843) 545-7200 | |
| (843) 545-5742 |
| Full Name | Skerdilaid Licaj |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1714 Highway 17 S, North 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 |
|---|---|---|---|
| 1023212842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1212 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Skerdilaid Licaj, PA 7603 Driftwood Dr, Myrtle Beach, SC 29572-4153 Ph: (843) 692-9099 | Skerdilaid Licaj, PA 1714 Highway 17 S, North Myrtle Beach, SC 29582-4041 Ph: (843) 545-7200 |
Ms. Jeanne Patricia Gates, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 Fax: 843-361-4045 | |
Chad Evan Watts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1016 2nd Ave N Ste 203f, North Myrtle Beach, SC 29582 Phone: 843-273-9000 | |
Cheryl Henson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-353-3460 Fax: 843-353-3461 | |
Ms. Lola Teresa Margron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 |