Individual
JOSEPH W O'NEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 MIDDLEBURG DR, MYRTLE BEACH, SC 29579-3408
(843) 903-6650
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 412-1590
(843) 225-3549
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2417
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6738
—
SC
Enumeration date
11/07/2015
Last updated
02/06/2020
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