Individual
NICHOLAS C MEXAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
207 CHARTWELL CT, MYRTLE BEACH, SC 29588-7273
(843) 222-9038
Mailing address
207 CHARTWELL CT, MYRTLE BEACH, SC 29588
(843) 222-9038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006264
—
SC
Enumeration date
07/14/2005
Last updated
02/28/2017
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