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Organization
INSTITUTE OF ELECTROPHYSIOLOGY
Active
Organization
INSTITUTE OF ELECTROPHYSIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR JARAKI MD (DIRECTOR)
(843) 602-6262
Entity
Organization
Contact information
Practice address
4420 OLEANDER DR, SUITE 102, MYRTLE BEACH, SC 29577-5720
(843) 602-2882
(843) 946-0022
Mailing address
PO BOX 810, NORTH MYRTLE BEACH, SC 29597-0810
(843) 602-2882
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
22341
SC
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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