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Organization
501 FAMILY MEDICAL CENTER LLC
Active
Organization
501 FAMILY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWA B. MARCINKOWSKA M.D. (PHYSICIAN OWNER)
(843) 448-3050
Entity
Organization
Contact information
Practice address
1752 HIGHWAY 501, MYRTLE BEACH, SC 29577-9750
(843) 448-3050
(843) 448-5934
Mailing address
1752 HIGHWAY 501, MYRTLE BEACH, SC 29577-9750
(843) 448-3050
(843) 448-5934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24043
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL3787
—
SC
Enumeration date
01/18/2006
Last updated
06/05/2015
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