Organization
MYRTLE BEACH ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PERRY (RCM MANAGER)
(502) 418-4700
Entity
Organization
Contact information
Practice address
7900 N KINGS HWY STE B, MYRTLE BEACH, SC 29572-3055
(843) 839-2581
Mailing address
PO BOX 736336, DALLAS, TX 75373-6336
(888) 717-5383
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
07/23/2025
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