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Organization
CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOC.
Active
Organization
CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI WILSON (OFFICE MANAGER)
(843) 692-0968
Entity
Organization
Contact information
Practice address
8220 NIGELS DRIVE, MYRTLE BEACH, SC 29572-4125
(843) 692-0968
(843) 692-2688
Mailing address
8220 NIGELS DRIVE, MYRTLE BEACH, SC 29572-4125
(843) 692-0968
(843) 692-2688
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
09/07/2006
Last updated
10/07/2024
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