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Organization

MYRTLE BEACH ENDOCRINOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL DAVID BUNN MD (PHYSICIAN OWNER)
(843) 267-1535
Entity
Organization

Contact information

Practice address
1039 44TH AVENUE NORTH, SUITE 204, MYRTLE BEACH, SC 29577
(843) 839-3950
(843) 839-3955
Mailing address
PO BOX 100523, FLORENCE, SC 29501
(843) 669-5162
(843) 771-4482

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD11983
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119838
SC
05
89064V0
NC
Enumeration date
05/27/2008
Last updated
07/16/2008
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