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Individual

CHAD R. HUBERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
945 82ND PKWY, MYRTLE BEACH, SC 29572-4610
(843) 497-5929
(843) 839-6375
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26640
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266401
SC
Enumeration date
06/24/2005
Last updated
01/16/2025
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