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Individual

STEPHEN REPLENSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4022 POSTAL WAY STE C, MYRTLE BEACH, SC 29579-3537
(843) 903-4111
(843) 903-4242
Mailing address
300 SINGLETON RIDGE RD, ATTN PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1625
SC
208000000X
Pediatrics Physician
OS13349
FL
208000000X
Pediatrics Physician
OT012995
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016253
SC
Enumeration date
06/09/2009
Last updated
09/20/2021
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