Individual
MR. C GREGORY KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3029 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588-4502
(843) 215-8868
(803) 932-9618
Mailing address
PO BOX 811, MURRELLS INLET, SC 29576-0811
(803) 932-9621
(843) 215-9555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199252
—
SC
Enumeration date
06/26/2006
Last updated
07/17/2008
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