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Individual

NICHOLAS FRANCIS MERCALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4871 SOCASTEE BLVD UNIT E, MYRTLE BEACH, SC 29588-7252
(843) 293-5610
Mailing address
200 ARCHDALE ST, MYRTLE BEACH, SC 29588-7825
(843) 902-1911

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4381
SC

Other

Enumeration date
03/01/2020
Last updated
03/01/2020
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