# CONVENIENT CONCIERGE HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONVENIENT CONCIERGE HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184090763
- **Legal business name:** CONVENIENT CONCIERGE HEALTHCARE
- **Authorized official:** MS. DENISE VANSANT (PRESIDENT)
- **Authorized official phone:** (704) 658-6483

## Contact information

- **Practice address:** 922 JERICHO CT, MYRTLE BEACH, SC 29579-3422
- **Practice address phone:** (704) 658-6483
- **Mailing address:** 922 JERICHO CT, MYRTLE BEACH, SC 29579-3422
- **Mailing address phone:** (704) 658-6483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 08/18/2015