Organization
MOBILE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY MARTINEZ (BILLING MANAGER)
(843) 410-0330
Entity
Organization
Contact information
Practice address
1002 SHIPMASTER AVE, MYRTLE BEACH, SC 29579-5142
(843) 410-0330
Mailing address
1002 SHIPMASTER AVE, MYRTLE BEACH, SC 29579-5142
(843) 410-0330
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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