Individual
DR. KIMBERLY A CECCHINI-PURGAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 236-3222
(843) 236-3005
Mailing address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 236-3222
(843) 236-3005
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1162
SC
208100000X
Physical Medicine & Rehabilitation Physician
25MB06944300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011622
—
SC
01
—
1093774028
NPI
—
Enumeration date
03/20/2006
Last updated
08/25/2014
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