Organization
MAGNOLIA OB-GYN LLC OF MYRTLE BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL ANN GACH (OFFICE MANAGER)
(845) 449-5848
Entity
Organization
Contact information
Practice address
8203 NIGELS DR, SUITE 100, MYRTLE BEACH, SC 29572-4177
(843) 449-5848
(843) 692-0841
Mailing address
8203 NIGELS DR, SUITE 100, MYRTLE BEACH, SC 29572-4177
(843) 449-5848
(843) 692-0841
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
11/03/2011
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