Organization
ADVANCED DISEASE PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TARBERT MD (CEO)
(843) 945-1151
Entity
Organization
Contact information
Practice address
107 WOODWIND CT, MYRTLE BEACH, SC 29572-4119
(843) 945-1151
Mailing address
107 WOODWIND CT, MYRTLE BEACH, SC 29572-4119
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
26891
SC
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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