Individual
STEPHEN HANNEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2510 N KINGS HWY, MYRTLE BEACH, SC 29577-3037
(843) 626-2273
Mailing address
2510 N KINGS HWY, MYRTLE BEACH, SC 29577-3037
(843) 626-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
MPA.5574
SC
Other
Enumeration date
03/29/2007
Last updated
11/15/2025
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