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Organization

AWAREMED WHOLISTIC URGENT CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DALAL ANIS AKOURY M.D. (PRESIDENT)
(843) 315-2520
Entity
Organization

Contact information

Practice address
4710 OLEANDER DRIVE, MYRTLE BEACH, SC 29577-5898
(843) 213-1480
(843) 712-1973
Mailing address
4710 OLEANDER DRIVE, MYRTLE BEACH, SC 29577-5898
(843) 213-1480
(843) 712-1973

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
980006
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3136318
BLUE CROSS BLUE SHIELD
TN
01
P00387371
RAILROAD MEDICARE
TN
Enumeration date
03/18/2010
Last updated
12/29/2011
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