# MYRTLE BEACH ENDOCRINOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083872030
- **Authorized official:** PAUL DAVID BUNN MD (PHYSICIAN OWNER)
- **Authorized official phone:** (843) 267-1535

## Contact information

- **Practice address:** 1039 44TH AVENUE NORTH, SUITE 204, MYRTLE BEACH, SC 29577
- **Practice address phone:** (843) 839-3950
- **Practice address fax:** (843) 839-3955
- **Mailing address:** PO BOX 100523, FLORENCE, SC 29501
- **Mailing address phone:** (843) 669-5162
- **Mailing address fax:** (843) 771-4482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD11983 | SC | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 07/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119838 | — | SC |
| 05 | — | 89064V0 | — | NC |