Individual
MR. MOHAMED MEDHAT M FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 82ND PARKWAY, MYRTLE BEACH, SC 29572
(843) 692-1118
Mailing address
809 82ND PARKWAY. MYRTLE BEACH, SC, 29572, MYRTLE BEACH, SC 29572
(843) 692-1118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39952
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2016
Last updated
09/22/2020
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