Individual
ABBY LEE REWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6010 HIGHWAY 707, STE 300, MYRTLE BEACH, SC 29588-7321
(843) 347-7216
(843) 347-7218
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
93431
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
934314
—
SC
Enumeration date
03/29/2020
Last updated
11/25/2024
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