| Centerwell Senior Primary Care-carolina Forest | |
|
3725 Renee Dr Myrtle Beach SC 29579-4109 | |
| (843) 350-1124 | |
| (877) 452-8854 |
| Full Name | Centerwell Senior Primary Care-carolina Forest |
|---|---|
| Speciality | Internal Medicine |
| Location | 3725 Renee Dr, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-carolina Forest 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care-carolina Forest 3725 Renee Dr Myrtle Beach SC 29579-4109 Ph: (843) 350-1124 |
| NPI Number | 1376242917 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376242917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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