| Internal Medicine Pa | |
|
1120 Glenns Bay Road Ste 101 Surfside Beach SC 29575-4757 | |
| (843) 215-5492 | |
| (843) 215-5512 |
| Full Name | Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1120 Glenns Bay Road, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Janice A Sterling (ADMINISTRATOR) |
| Authorized Official Contact | 8432155492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Pa 1120 Glenns Bay Road Ste 101 Surfside Beach SC 29575-4757 Ph: (843) 215-5492 | Internal Medicine Pa 1120 Glenns Bay Road Ste 101 Surfside Beach SC 29575-4757 Ph: (843) 215-5492 |
| NPI Number | 1811917727 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811917727 | NPI | - | NPPES |
| 170460 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17046 (South Carolina) | Primary |
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Executive Court Medical Specialist P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 997 Hwy 17 Business South, Suite C, Surfside Beach, SC 29575 Phone: 843-839-4505 Fax: 843-839-2851 | |
Terry Reardon Md, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 N Azalea Dr Ste 104, Surfside Beach, SC 29575 Phone: 843-360-2776 Fax: 877-905-5374 | |
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