Individual
PAVEL M STANCUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
906 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 497-5929
(843) 839-1037
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
(843) 399-0123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22893
SC
207RN0300X
Nephrology Physician
Primary
22893
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228934
—
SC
Enumeration date
07/14/2005
Last updated
07/31/2015
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