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Individual

DR. NEIL BOSTROM GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 449-6414
(843) 497-0357
Mailing address
900 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 449-6414
(843) 497-0357

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27314
SC
207W00000X
Ophthalmology Physician
9400509
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0838873
UNITED HEALTHCARE
NC
01
108820410
RAILROAD MEDICARE
NC
01
232473
MAMSI
NC
01
37393
BCBS
NC
01
63789
MEDCOST
NC
05
8937393
NC
01
FH2000155
FIRSTCAROLINACARE
NC
05
N00509
SC
Enumeration date
11/07/2005
Last updated
07/01/2024
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