Individual
DR. JIMMY L KONTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Mailing address
920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC 29572-4183
(843) 497-7772
(843) 848-7530
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
31084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900989
—
NC
05
—
PA2425
—
SC
Enumeration date
07/19/2006
Last updated
02/08/2022
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