Individual
JORGE LUIS INFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8015
Mailing address
4504 MOORE ST, NORTH MYRTLE BEACH, SC 29582-5220
(843) 663-1043
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME129975
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
27835
SC
207Q00000X
Family Medicine Physician
310829
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278354
—
SC
05
—
400685
—
SC
05
—
GP1426
—
SC
Enumeration date
07/19/2005
Last updated
01/02/2026
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