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Organization
MEDICOS, P.A.
Active
Organization
MEDICOS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SANTIAGO MD (PRESIDENT)
(843) 796-7422
Entity
Organization
Contact information
Practice address
506 2ND AVE N, NORTH MYRTLE BEACH, SC 29582-3012
(843) 796-7422
(877) 817-3832
Mailing address
PO BOX 70157, MYRTLE BEACH, SC 29572-0021
(843) 504-2121
(843) 487-0123
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
03/20/2025
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