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Individual

DR. EDWARD R MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
106 LANSFORD CT, SUITE 100, MYRTLE BEACH, SC 29588
(843) 293-8850
(843) 293-8860
Mailing address
106 LANSFORD CT, SUITE 100, MYRTLE BEACH, SC 29588
(843) 293-8850
(843) 293-8860

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0584
SC
207Q00000X
Family Medicine Physician
204061
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080172640
RAIL ROAD MEDICARE
SC
01
153867800
DEPARTMENT OF LABOR
SC
01
193125
MEDCOST
SC
01
8184888
CIGNA
SC
Enumeration date
03/25/2006
Last updated
04/17/2020
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