Individual
REBECCA S EGLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6010 HIGHWAY 707, STE 300, MYRTLE BEACH, SC 29588-7321
(843) 293-1005
(843) 293-1006
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19497
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194970
—
SC
Enumeration date
07/19/2005
Last updated
12/28/2023
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