# C GREGORY KANG MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain, Spine and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619174687
- **Authorized official:** C GREGORY KANG M.D. (OWNER)
- **Authorized official phone:** (843) 215-8868

## Contact information

- **Practice address:** 3029 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588
- **Practice address phone:** (843) 215-8868
- **Practice address fax:** (843) 215-9555
- **Mailing address:** PO BOX 811, MURRELLS INLET, SC 29576-0811
- **Mailing address phone:** (843) 215-8868
- **Mailing address fax:** (843) 215-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 19925 | SC | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 01/03/2012