Individual
CHRISTOPHER CODY BELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Mailing address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2766
TN
363A00000X
Physician Assistant
5010
SC
363AS0400X
Surgical Physician Assistant
Primary
5010
SC
363AS0400X
Surgical Physician Assistant
PA2766
TN
Other
Enumeration date
04/20/2015
Last updated
12/15/2023
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