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Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Other names
Angelic Palliative Care of SC
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
923C MEDICAL CIRCLE, MYRTLE BEACH, SC 29572
(843) 356-9078
(843) 356-4086
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 822-7979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/12/2024
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