Individual
PEGGY BOURGUILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4959 HWY 17 BYPASS S., MURRELLS INLET, SC 29576
(843) 357-1299
(843) 357-2264
Mailing address
PO BOX 2474, MURRELLS INLET, SC 29576-2474
(843) 357-1299
(843) 357-2264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51994
SC
Other
Enumeration date
08/07/2014
Last updated
10/20/2021
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