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Individual

WILLIAM PRENATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
945 82ND PKWY, MYRTLE BEACH, SC 29572-4612
(843) 497-5929
(866) 778-9068
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34243
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
342436
SC
05
5910020
NC
01
7844
MEDICARE PTAN
SC
05
GP4505
SC
Enumeration date
03/21/2006
Last updated
12/17/2025
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