Ryan Antonawich, DO
Family Medicine, Sports Medicine in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1194454868
StatusActive
Last updated in NPPESOct 19, 2026
Details
- NPI
- 1194454868
- Entity type
- Individual (NPI-1)
- Name
- Ryan Antonawich
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Oct 19, 2026
- Last updated
- Oct 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 95586 | SC | Yes |
Practice location
4320 Holmestown RdMyrtle Beach, SC 29588-7837
Phone 843-652-8440 · Fax 843-652-8441
Mailing address
4320 Holmestown RdMyrtle Beach, SC 29588-7837
Phone 843-652-8440 · Fax 843-652-8441
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