Myrtle Beach Dermatology
Dermatology in Myrtle Beach, SC. Organization (NPI-2).
NPI number1285683003
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1285683003
- Entity type
- Organization (NPI-2)
- Legal business name
- Myrtle Beach Dermatology
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 19296 | SC | Yes |
Practice location
1275 21st Ave N Bldg 2Myrtle Beach, SC 29577-7514
Phone 843-449-9140 · Fax 843-497-5110
Mailing address
1275 21st Ave N Bldg 2Myrtle Beach, SC 29577-7514
Phone 843-449-9140 · Fax 843-497-5110
Authorized official
Richard Henry Hussey
Partner
8434499410
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Other Dermatology Physician providers in Myrtle Beach, SC
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- Lucia Griffith, PA-CNPI 1518501865
- Richard Henry Hussey, M.D.NPI 1558365346
- Nathan Patrick Jones, M.D.NPI 1528245560
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All 26 Dermatology Physician providers in Myrtle Beach · All 3,545 providers in Myrtle Beach
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