Individual
LISA CENTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2200 CROW LN STE 301, MYRTLE BEACH, SC 29577-1663
(843) 848-5300
(843) 848-5305
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81721
SC
207QA0505X
Adult Medicine Physician
51010119542
MI
Other
Enumeration date
03/07/2011
Last updated
04/06/2026
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