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Organization
MYRTLE BEACH INTERNISTS, LLC
Active
Organization
MYRTLE BEACH INTERNISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA E MOSHOURES MD (OWNER)
(843) 839-2500
Entity
Organization
Contact information
Practice address
929 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 839-2500
(843) 839-0018
Mailing address
929 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 839-2500
(843) 839-0018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20432
SC
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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