| City Of Myrtle Beach - Mr Joe White Ave | |
|
3127 Mr Joe White Ave Myrtle Beach SC 29577-6712 | |
| (843) 918-2040 | |
| Not Available |
| Full Name | City Of Myrtle Beach - Mr Joe White Ave |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3127 Mr Joe White Ave, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Myrtle Beach - Mr Joe White Ave 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | City Of Myrtle Beach - Mr Joe White Ave 3127 Mr Joe White Ave Myrtle Beach SC 29577-6712 Ph: (843) 918-2040 |
| NPI Number | 1265105258 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265105258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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