Organization
MYRTLE BEACH DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HENRY HUSSEY III M.D. (PARTNER)
(843) 449-9410
Entity
Organization
Contact information
Practice address
1275 21ST AVE N BLDG 2, MYRTLE BEACH, SC 29577-7514
(843) 449-9140
(843) 497-5110
Mailing address
1275 21ST AVE N BLDG 2, MYRTLE BEACH, SC 29577-7514
(843) 449-9140
(843) 497-5110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19296
SC
Other
Enumeration date
05/09/2006
Last updated
08/20/2024
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