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501 Family Medical Center LLC

Family Medicine in Myrtle Beach, SC. Organization (NPI-2).

NPI number1508846593
StatusActive
Last updated in NPPESJun 5, 2015

Details

NPI
1508846593
Entity type
Organization (NPI-2)
Legal business name
501 Family Medical Center LLC
Organization subpart
No
Enumeration date
Jan 18, 2006
Last updated
Jun 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine24043SCYes

Practice location

1752 Highway 501
Myrtle Beach, SC 29577-9750

Phone 843-448-3050 · Fax 843-448-5934

Mailing address

1752 Highway 501
Myrtle Beach, SC 29577-9750

Phone 843-448-3050 · Fax 843-448-5934

Authorized official

Ewa B. Marcinkowska
Physician Owner
8434483050

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