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Contact Information

MYRTLE BEACH DERMATOLOGY
1275 21ST AVE N BLDG 2
MYRTLE BEACH, SC29577-7514
 Phone: 843-449-9140
 Fax: 843-497-5110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MYRTLE BEACH DERMATOLOGY

NPI Number 1285683003
LBN Legal business name MYRTLE BEACH DERMATOLOGY
Authorized official RICHARD HUSSEY - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 08/20/2024 - More than a year ago
Identifiers
SC License # 19296
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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