Dr. Lindaberry At Carolina Forest, PC
Family Medicine in Myrtle Beach, SC. Organization (NPI-2).
NPI number1184635401
StatusActive
Last updated in NPPESNov 1, 2013
Details
- NPI
- 1184635401
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Lindaberry At Carolina Forest, PC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Nov 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 712 | SC | Yes |
Practice location
108 Finnegan CtMyrtle Beach, SC 29579-4205
Phone 843-903-9993 · Fax 843-903-3356
Mailing address
108 Finnegan CtMyrtle Beach, SC 29579-4205
Phone 843-903-9993 · Fax 843-903-3356
Authorized official
Jeffrey Samuel Lindaberry
Owner
8439039993
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