Individual
IAN PEACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 MAYPOP CIR, MYRTLE BEACH, SC 29588-1381
(843) 780-8346
Mailing address
3850 MAYPOP CIR, MYRTLE BEACH, SC 29588-1381
(843) 780-8346
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME167726
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
04/30/2024
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