# INTERNAL MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beach Medicine of Internal Medicine PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811917727
- **Authorized official:** MS. JANICE A STERLING LPN (ADMINISTRATOR)
- **Authorized official phone:** (843) 215-5492

## Contact information

- **Practice address:** 1120 GLENNS BAY ROAD, STE 101, SURFSIDE BEACH, SC 29575-4757
- **Practice address phone:** (843) 215-5492
- **Practice address fax:** (843) 215-5512
- **Mailing address:** 1120 GLENNS BAY ROAD, STE 101, SURFSIDE BEACH, SC 29575-4757
- **Mailing address phone:** (843) 215-5492
- **Mailing address fax:** (843) 215-5512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 17046 | SC | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 170460 | — | SC |