| Myrtle Beach Family Medicine, Pa | |
|
831 82nd Pkwy Myrtle Beach SC 29572-4607 | |
| (843) 449-5243 | |
| (843) 449-2333 |
| Full Name | Myrtle Beach Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 831 82nd Pkwy, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Terry A Belden (OWNER/MD) |
| Authorized Official Contact | 8434495243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtle Beach Family Medicine, Pa 831 82nd Pkwy Myrtle Beach SC 29572-4607 Ph: (843) 449-5243 | Myrtle Beach Family Medicine, Pa 831 82nd Pkwy Myrtle Beach SC 29572-4607 Ph: (843) 449-5243 |
| NPI Number | 1962478644 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 2163491689 |
|---|---|
| Medicare Enrollment ID | O20040930000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962478644 | NPI | - | NPPES |
| GP0352 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Naishaj Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336360882 PECOS PAC ID: 1254424773 Enrollment ID: I20070829000550 |
| Provider Name | Dean A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811963390 PECOS PAC ID: 9133198658 Enrollment ID: I20080117000468 |
| Provider Name | Terry A Belden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467428821 PECOS PAC ID: 4688643109 Enrollment ID: I20100924000869 |
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