Individual
MR. MICHAEL JOHN BELIEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-5929
(843) 497-6601
Mailing address
4615 OLEANDER DR, SUIT 201A, MYRTLE BEACH, SC 29577-5741
(843) 449-9559
(843) 497-6601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1654
SC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL1654
MEDICAL LICENSE
SC
Enumeration date
04/19/2011
Last updated
06/10/2011
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