# CAROLINA RHEUMATOLOGY & NEUROLOGY ASSOC.

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

## Provider details

- **NPI number:** 1215031653
- **Authorized official:** SHARI WILSON (OFFICE MANAGER)
- **Authorized official phone:** (843) 692-0968

## Contact information

- **Practice address:** 8220 NIGELS DRIVE, MYRTLE BEACH, SC 29572-4125
- **Practice address phone:** (843) 692-0968
- **Practice address fax:** (843) 692-2688
- **Mailing address:** 8220 NIGELS DRIVE, MYRTLE BEACH, SC 29572-4125
- **Mailing address phone:** (843) 692-0968
- **Mailing address fax:** (843) 692-2688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 10/07/2024