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Contact Information

CAPESIDE ADDICTION CARE, PLLC
4889 HIGHWAY 17 BYP S
MYRTLE BEACH, SC29577-6683
 Phone: 843-584-7011
 Fax: 843-945-1355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CAPESIDE ADDICTION CARE, PLLC

NPI Number 1093280620
LBN Legal business name CAPESIDE ADDICTION CARE, PLLC
Authorized official WILLIAM BEASLEY - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2018
Last updated 10/10/2018 - About 8 years ago
Identifiers
NC Medicaid 1255323622
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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